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《Assessing the Impact of Pediatric-Based Developmental Services onInfants, Families, and Clinicians Challenges to Evaluating theHealthy Steps Program对儿童影响的基础上发展服务 婴儿，家庭，和临床医生：挑战评估 健康阶梯计划》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、AssessingtheImpactofPediatric-BasedDevelopmentalServicesonInfants,Families,andClinicians:ChallengestoEvaluatingtheHealthyStepsProgramBernardGuyer,MD,MPH*;NancyHughart,RN,MPH*;DonnaStrobino,PhD*;AlisonJones,PhD³;DanielScharfstein,ScD§;andtheHealthyStepsEvaluationTeamiABSTRACT.Background.B
2、egunin1996,theHealthysourcesinthecommunity,organizesandconductsparentStepsforYoungChildrenProgram(HS)isanewmodeldiscussiongroups,coordinatesearlyreadingactivities,ofpediatricpracticethatincorporateschilddevelopmentandmaintainsatelephoneinformationlineforquestionsspecialistsandenhanceddev
3、elopmentalservicesforaboutchilddevelopmentandbehavior.familiesofyoungchildren.HSisforallfamilies,notjustTheevaluationreliesonmanydatasourcesincludingthoseathigh-risk.Itisexpectedtostrengthenparents'self-administeredprovidersurveys,keyinformantinter-knowledge,attitudes,andbehaviorsinwayst
4、hatpro-views,formscompletedbyparentsatofficevisits,tele-motechildhealthanddevelopment,andinturn,toleadphoneinterviewswithparents,medicalrecordreviews,toimprovedchildoutcomes,suchasimprovedlanguagedatafromeachsiteonprogramcostsandhealthservicesdevelopment,increasedutilizationofwellchildca
5、re,anduse,andanongoinglogoffamilycontactsmaintainedbydecreasedproblembehaviors,hospitalizations,andinju-eachdevelopmentalspecialist.ries.TheHSevaluationisdesignedtoassesswhetherHSAnalysesforthisarticlearebasedonenrollmentdataissuccessfulinachievingthedesiredoutcomes,measurefortheHealthyS
6、tepssampleandnationaldataon1997theprogram'scosts,anddeterminetherelationoftheUSlivebirths.Thex2goodness-of-fittestwasusedtoprogram'scoststoitsoutcomes.evaluatewhetherthedistributionofselecteddemo-Objective.ThisarticleisthefirstreportoftheHSgraphicvariables,insurance,andinfant'sbirthweigh
7、tevaluation.Itdescribestheevaluationdesignandchar-fortheHealthyStepssamplewassimilartothedistribu-acteristicsoftheHSsitesandsamplefortheevaluation.tionsforUSbirthsin1997.Inaddition,comparisonsMethods.Theevaluationisfollowingacohortofchil-weremadebetweeninterventionandcomp
