Video Experimental Relacionado

Updated: Sep 8, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Una intervención comunitaria para abordar los determinantes sociales de la salud: un estudio piloto

Nathan L Delafield, Amogh Havanur, Timethia J Bonner

Joint Commission journal on quality and patient safety

|September 5, 2025

Resumen

Los voluntarios de la comunidad abordaron con éxito la mayoría de los determinantes sociales de las necesidades de salud de los pacientes. La intervención demostró la viabilidad, pero destacó los desafíos en el tiempo de voluntariado y el reclutamiento de pacientes para un impacto más amplio.

Área de la Ciencia:

Salud pública y medicina social
Intervenciones comunitarias en materia de salud
Investigación en servicios de salud

Sus antecedentes:

Los determinantes sociales de la salud (SDoH) tienen un impacto significativo en el bienestar del paciente.
El apoyo social basado en la comunidad es una estrategia potencial para abordar el SDoH.
Los Centros de Salud Federalmente Calificados (FQHC) atienden a poblaciones vulnerables con necesidades de SDoH.

Objetivo del estudio:

Evaluar la viabilidad y el impacto de una intervención de voluntarios de la comunidad para el SDoH.
Evaluar la resolución de las necesidades primarias de SDoH utilizando objetivos definidos por el paciente.
Explorar los efectos en la resiliencia del paciente, la utilización de la atención médica y otras métricas de SDoH.

Principales métodos:

Se incluyeron pacientes adultos (N=12) de un FQHC con necesidades de SDoH.
Los voluntarios de la comunidad (Red de Mesas Abiertas) brindaron apoyo durante 12 meses.
Los resultados medidos incluyeron la implementación de la intervención, la resolución de SDoH, la resiliencia y la utilización de la atención médica a través de entrevistas cualitativas y análisis emparejados.

Principales resultados:

Los voluntarios de la comunidad resolvieron el 91,7% de las necesidades primarias de SDoH de los pacientes.
El esfuerzo voluntario medio fue de 47,5 horas por participante.
No se observaron cambios significativos en la resiliencia del paciente, en otras métricas de SDoH o en la utilización de la atención médica.

Conclusiones:

La intervención de la Mesa de Red Abierta fue factible en un FQHC.
Se requirió un esfuerzo voluntario y una creatividad significativos para su implementación.
Se necesita más investigación sobre la escalabilidad, la sostenibilidad y el impacto a largo plazo.

Más Videos Relacionados

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Videos de Conceptos Relacionados

Community Based Intervention

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

Models of Health Promotion and Illness Prevention I

Models of Health Promotion and Illness Prevention I

A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...

Models of Health Promotion and Illness Prevention II

Models of Health Promotion and Illness Prevention II

The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...

Levels of Health Promotion and Illness Prevention

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...

Study Designs in Epidemiology

Study Designs in Epidemiology

Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...