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プロジェクトSEEKを通じて,一般小児科における社会的ニーズスクリーニングの改善

Colby Feeney1,2, Bryan Monroe3, Chisom Agbim4

  • 1Departments of Medicine and Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA colby.feeney@duke.edu.

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まとめ

一般小児科における子どもの社会的健康決定因子 (SDoH) スクリーニングの改善により,満たされていない社会的ニーズの特定が著しく増加しました. この品質改善プロジェクトでは,食糧不安やその他の障壁に対処することで,患者のケアを向上させました.

キーワード:
病院医学 病院医学 病院医学とは小児科 小児科患者アドボカシーとは品質の向上 品質の向上

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科学分野:

  • 小児保健医療について
  • 公衆衛生は公衆衛生である.
  • 品質改善 科学 科学 改善

背景:

  • 小児患者の満たされていない社会的需要は,健康上の結果に悪影響を及ぼし,医療利用率を高めます.
  • 健康の社会的決定因子 (SDoH) に対する効果的なスクリーニングは,子どもたちのこれらのニーズを特定し,対処するために不可欠です.
  • 現在のスクリーニングプロセスは,しばしば家族の受け入れや包括的なドメインのカバーが欠如しています.

研究 の 目的:

  • 一般小児科に入院した小児科患者の満たされていない社会的ニーズを特定することを強化する.
  • 健康の社会的決定因子 (SDoH) の家族に受け入れられるスクリーニングプロセスを開発する.
  • 4つの主要な分野 (食糧不安,交通,住宅,財政的負担) での文書化されたSDoHスクリーニング率を0%から60%に増加させる.

主な方法:

  • 2021年9月から2024年9月まで,多学科の品質改善プロジェクトが行われました.
  • 介入には,看護教育,フィードバック,食事トレイの提供,スクリーニングアンケートのEHR統合が含まれていました.
  • パイロットグループ (n=22) は,患者および家族とのスクリーニングプロセスの可受け入れ性を評価しました.

主要な成果:

  • スクリーニングは,患者と家族のパイロットグループによって受け入れられることが判明しました.
  • 文書化されたSDoHスクリーニング率は,4229人の適格な患者で0%から56.7%に増加しました.
  • 食品不安全性のスクリーニングは,SDoHスクリーニングと4つのドメイン全体で正の相関を示しました.

結論:

  • 実施されたSDoHスクリーニングプロセスは,小児患者の患者および家族にとって受け入れられていました.
  • この品質改善イニシアチブは,SDoHのスクリーニング率と満たされていないニーズの特定率を成功裏に増加させました.
  • 食事のトレイのような有形なリソースを提供することは,家族を支援し,スクリーニングの苦境を軽減する貴重な要素でした.