目的:描述护理学院和城市学术医学中心如何与当地卫生部门合作计划,工具,并评估普遍的护士家庭访视服务,以改善产后期间的健康公平性。
方法:循证实践。
方法:芝加哥母婴发病率和死亡率的健康差异很大,伊利诺伊州。
方法:所有在医疗中心分娩并居住在芝加哥的患者。
方法:从2020年3月开始,对所有符合条件的患者进行出生后的护士家庭访视。我们使用基于Web的平台的数据来确定该计划的关键绩效指标,并检查了患者的人口统计信息,以确定2022年提供的所有就诊的服务的公平交付。
结果:有1,488名患者符合家庭访问条件,714名患者接受家庭访问。平均接触率为76%,调度率为63%,预定访问的完成率为76%,人口达到48%。所访问的家庭中有68%来自该市高经济困难的邮政编码地区。百分之八十一的探访导致至少一次转诊以满足家庭的需要,98%接受调查的患者认为他们的就诊“非常有帮助”。\"
结论:这种公私伙伴关系的成功实施部分归功于支持卫生公平举措的组织文化,纳入全系统利益相关者,有一个监控结果的过程,并聘请多元化的护士团队优先考虑尊重以患者为中心的护理。
OBJECTIVE: To describe how a college of nursing and urban academic medical center partnered with the local health department to plan, implement, and evaluate a universal nurse home visit service to improve health equity in the postpartum period.
METHODS: Evidence-based practice.
METHODS: Wide health disparity in rates of maternal and infant morbidity and mortality in Chicago, Illinois.
METHODS: All patients who gave birth at the medical center and lived in Chicago.
METHODS: A nurse home visit was offered after birth to all eligible patients beginning in March 2020. We used data from a Web-based platform to determine key performance indicators for the program and examined patient demographics to determine equitable delivery of the service for all visits provided in 2022.
RESULTS: There were 1,488 patients eligible for a home visit and 714 who received a home visit. The average contact rate was 76%, the scheduling rate was 63%, the completion rate for scheduled visits was 76%, and the population reach was 48%. Sixty-eight percent of families visited were from high-economic-hardship zip code areas of the city. Eighty-one percent of visits resulted in at least one referral to meet a family\'s need, and 98% of patients surveyed rated their visit as \"very helpful.\"
CONCLUSIONS: The successful implementation of this public-private partnership was due in part to an organizational culture that supports health equity initiatives, the inclusion of system-wide stakeholders, having a process in place to monitor outcomes, and hiring a diverse team of nurses who prioritize respectful patient-centered care.