[The application of risk strategy to a maternal-child program at a health center].

Abstract:

OBJECTIVES:The overall objective is to prioritize health care for women and children at higher social risk. DESIGN:Intervention study. SETTING:An urban health centre. PATIENTS:Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and economic level and conflictual family relationships. Family planning (FP) and young adult (YA): previous abortion, low social and economic level, immigrants. Pregnancy monitoring (PM): pregnancies in women under 20, immigrants, unwanted pregnancy. Vaccinations: living in an area of social risk, child of immigrants. INTERVENTIONS:1) Preferential focus on risk groups, specific markers in records and archives. 2) Checking attendance at appointments and recouping. 3) Early referral to the social worker (and midwife in risk pregnancy). 4) Analysis of reasons for leaving programme and improving access. MEASUREMENTS AND MAIN RESULTS:The number of people with a greater risk criterion. CONCLUSIONS:The follow-up procedures of the mother and child programme, specific to those at higher social risk, are useful for recouping those who leave the programme and for positive discrimination in the care delivered to these groups.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Carrasco Rodríguez A,Muñoz Cobos F,Espinosa Almendro JM

subject

Has Abstract

pub_date

1997-04-30 00:00:00

pages

362-6

issue

7

eissn

0212-6567

issn

1578-1275

journal_volume

19

pub_type

杂志文章
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