Narrowing Care Gaps for Early Language Delay: A Quality Improvement Study.
Clin Pediatr (Phila)
; 55(2): 137-44, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-25994319
ABSTRACT
BACKGROUND AND OBJECTIVE:
Poverty is a risk factor for both language delay and failure to access appropriate therapies. The objective of this study was to increase the percentage of children 0 to 3 years old referred from an urban primary care center who attended an initial appointment with speech pathology or audiology within 60 days from 40% to 60%.METHODS:
The Model for Improvement was used to develop and test the intervention, which addressed potential logistical barriers faced by low-income families. Adherence was plotted on run charts in time series to assess overall improvement, and subgroups were analyzed to identify reduction in disparities.RESULTS:
Median referral adherence improved from 40% to 60%. Families from lower income neighborhoods had lower preintervention adherence; these differences were eliminated postintervention.CONCLUSIONS:
System-level changes improved access to evaluation and treatment for low-income children with language delay and narrowed the gap in access between families in lower versus higher income neighborhoods.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Disparidades em Assistência à Saúde
/
Melhoria de Qualidade
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Transtornos do Desenvolvimento da Linguagem
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article