Reducing the use of emergency medical resources among head start families: A pilot study

被引:24
作者
Herman, AD
Mayer, GG
机构
[1] Inst Healthcare Advancement, La Habra, CA 90631 USA
[2] Univ Calif Los Angeles, Anderson Sch, Los Angeles, CA 90024 USA
关键词
literacy; self-care; survey; Head Start; emergency department;
D O I
10.1023/B:JOHE.0000022026.20770.f4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The objective of this study was to determine whether self-care training with Head Start parents can improve their ability to manage the healthcare needs of their children measured by utilization of emergency department (ED) and physician services. Four hundred and six families in Head Start agencies were included in the study. Parents were given a low-literate self-help book entitled What To Do When Your Child Gets Sick. The study design included using multiple-choice, pre- and post-intervention survey data. In a six month follow-up, parents who received the book reported a 48% reduction in ED visits and a 37.5% reduction in clinic visits. More research is needed to determine if this self-care tool and additional training can have a significant impact on inappropriate use of medical resources.
引用
收藏
页码:197 / 208
页数:12
相关论文
共 11 条
[1]  
BURT CW, 2001, ADV DATA VITAL HL 13, V150
[2]   HEALTH-RELATED BEHAVIOR IN HEALTH PROMOTION - UTILIZING THE CONCEPT OF SELF-CARE [J].
DEAN, K ;
KICKBUSCH, I .
HEALTH PROMOTION INTERNATIONAL, 1995, 10 (01) :35-40
[3]  
Herman A., 2000, STATUS HLTH CARE HEA
[4]   HEALTH PROMOTION FOR OLDER-PEOPLE - ALL IS NOT WELL [J].
HICKEY, T ;
STILWELL, DL .
GERONTOLOGIST, 1991, 31 (06) :822-829
[5]  
MAYER G, 2001, WHAT DO YOUR CHILD G
[6]  
MCCAIG LF, 2001, ADV DATA VITAL HLTH, V320
[7]   THE ASSOCIATION OF PHYSICAL-ACTIVITY WITH MORTALITY AMONG OLDER ADULTS IN THE LONGITUDINAL-STUDY OF AGING (1984-1988) [J].
RAKOWSKI, W ;
MOR, V .
JOURNALS OF GERONTOLOGY, 1992, 47 (04) :M122-M129
[8]  
RASMUSSEN F, 2002, MOTHERS BENEFIT SELF
[9]  
Stoller E. P., 1998, SELF CARE LATER LIFE
[10]  
HLTH LITERACY OVERVI