Failure to Thrive among Immigrant and Refugee Children: A Quality Improvement Project to Innovate a Primary Care Approach

Bull Jessica; Cabral Kimberly; Kvach Elizabeth

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Failure to Thrive among Immigrant and Refugee Children: A Quality Improvement Project to Innovate a Primary Care Approach

机译：未能在移民和难民儿童中茁壮成长：创新初级保健方法的质量改进项目

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Objective. This quality improvement (QI) project aimed to improve primary care for immigrant and refugee children with failure to thrive (FTT) in a diverse clinic where elevated rates of FTT were noted. Methods. The QI intervention included a patient registry managed by a care coordinator, a manual to educate providers, and group visits for patients with shared primary language. Rates of clinical follow-up, growth parameters of children in group visits versus standard care, and provider confidence/satisfaction were evaluated. Results. Follow-up rates improved for all patients post-intervention (p=.002). There was no significant difference in growth parameters for group visit children (n=12) compared with standard care children (n=56). Providers (n=16) reported improved confidence/satisfaction post-intervention. Conclusion. This initiative employs an innovative model to improve primary care for children with FTT. Improved patient follow-up and provider confidence/satisfaction were observed. Patient numbers were too small to assess meaningful changes in growth parameters, necessitating further research.

机译：客观的。这种质量改进（QI）项目旨在改善祖国和难民儿童的初级保健，未在不同的诊所中茁壮成长（FTT），其中指出了升高的FTT率。方法。 QI干预包括由护理协调员管理的患者登记处，该患者注册管理机构，为教育提供商的手册，以及对分享主要语言的患者进行组访问。临床随访的率，群体参观的儿童的生长参数与标准护理以及提供者的信心/满意度进行了评估。结果。所有患者的后续率改善了干预后的后续率（P = .002）。与标准护理儿童相比，组访问儿童的生长参数没有显着差异（n = 12）（n = 56）。提供者（n = 16）报告了干预后的置信/满意度改善。结论。这项倡议采用了一种创新模型来改善FTT儿童的初级保健。观察到改善的患者随访和提供者的信心/满意度。患者数量太小，无法评估增长参数的有意义的变化，需要进一步研究。

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《Journal of health care for the poor and underserved》 |2018年第4期|共14页
作者
Bull Jessica; Cabral Kimberly; Kvach Elizabeth;
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作者单位

Denver Hlth Denver CO USA;

Univ Colorado Sch Med Boulder CO 80309 USA;

Denver Hlth Denver CO USA;

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原文格式 PDF
正文语种 eng
中图分类保健组织与事业（卫生事业管理）;
关键词
Failure to thrive; children; immigrant; refugee; quality improvement; group visit;

机译：未能茁壮成长;儿童;移民;难民;质量改进;集团访问;

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7. Trends in the Quality of Care for Medicare Beneficiaries Admitted to the Hospital With Unstable Angina 11This study was supported in part by the Patrick and Catherine Weldon Donaghue Medical Research Foundation Hartford. Dr. Krumholz is a Paul Beeson Faculty Scholar. The analyses on which this publication is based were performed under Contract Number 500-96-P549, entitled “Utilization and Quality Control Peer Review Organization for the State of Connecticut,” sponsored by the Health Care Financing Administration, Department of Health and Human Services. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. Government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. This article is a direct result of the Health Care Quality Improvement Program initiated by the Health Care Financing Administration, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this Contractor. Ideas and contributions to the authors concerning experience in engaging with the issues presented are welcomed. [O] . Krumholz Harlan M., Philbin Daniel M., Wang Yun, 1998

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Failure to Thrive among Immigrant and Refugee Children: A Quality Improvement Project to Innovate a Primary Care Approach

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