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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Improving Information Sharing for Youth in Foster Care
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Improving Information Sharing for Youth in Foster Care

机译:改进寄养中青年信息的信息

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摘要

There are similar to 443 000 children in child protective custody (ie, foster care) in the United States. Children in protective custody have more medical, behavioral, and developmental problems that require health care services than the general population. These health problems are compounded by poor information exchange impeding care coordination. Health care providers often do not know which of their patients are in protective custody and are not privy to the critical social history collected by child protective services, including placement history and maltreatment history. Meanwhile, the custodial child protection agency and designated caregivers (ie, foster caregivers and kinship providers) often lack vital elements of the health history of children in their care, which can result in poor health care delivery such as medication lapses, immunization delay, and poor chronic disease management. In this case study, we address this critical component of health care delivery for a vulnerable population by describing a process of developing an information sharing system between health care and child welfare organizations in collaboration with child protection community partners. Lessons learned include recommended steps for improved information sharing: (1) develop shared community vision, (2) determine shareable information components, (3) implement and analyze information sharing approaches, and (4) evaluate information sharing efforts. A successful example of advocating for improvement of information sharing for youth in protective custody is explored to highlight these steps. In collaboration with child protective services, pediatricians can improve information sharing to impact both health care delivery and child protection outcomes.
机译:在美国儿童保护拘留(即寄养)中有443 000名儿童。保护拘留儿童有更多的医疗,行为和发展问题,需要卫生保健服务而不是一般人群。这些健康问题是通过不良信息交换障碍护理协调而复杂化。医疗保健提供者通常不知道哪些患者处于保护性监护权,并且对儿童保护服务收集的关键社会历史并不刺势,包括放置历史和虐待历史。同时,监护儿童保护局和指定的护理人员(即促进护理人员和亲属机构)往往缺乏患有儿童健康史的重要因素,这可能导致医疗保健差,如药物失误,免疫延迟和慢性疾病管理不佳。在这种情况下,我们通过描述与儿童保护社区合作伙伴合作制定医疗保健和儿童福利组织之间的信息共享制度的过程来解决弱势群体的弱势群体的关键组成部分。经验教训包括改进信息共享的建议步骤:(1)开发共享社区愿景,(2)确定可共享信息组件,(3)实施和分析信息共享方法,(4)评估信息共享努力。探讨了倡导改善对保护拘留中青少年信息的信息的成功示例,以突出这些步骤。与儿童保护服务合作,儿科医生可以改善信息分享,以影响医疗保健交付和儿童保护成果。

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