电子社区资源参考系统的系统性审查
Maura B Drewry1, Juan Yanguela1, Anisha Khanna1
1The University of North Carolina at Chapel Hill, Center for Health Equity Research, Chapel Hill, North Carolina.
电子社区资源推系统解决了与健康相关的社会需求. 整合到工作流程和强大的伙伴关系有助于实施,而技术挑战和成本则构成障碍.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 社区资源推系统 (CRRS) 越来越多地通过医疗IT来解决患者的社会需求.
- 这些系统将个人与食物,住房和交通等基本服务联系起来.
研究的目的:
- 系统地审查影响美国CRRS实施的障碍和促进因素.
- 在15年的时间里综合CRRS的同行评审文献.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了五个科学数据库,查找2005年1月至2020年12月出版的文献.
- 从2473个初始搜索结果中分析了41篇文章.
主要成果:
- 通过各种交付方法,CRRS解决了各种健康相关的社会需求.
- 促进者包括诊所工作流程集成,最新的资源库存和强大的社区伙伴关系.
- 障碍包括数据敏感性,技术问题和成本;EMR集成和自动化是有利的.
结论:
- 结果指导医疗保健利益相关者设计和实施电子CRRS.
- 未来的研究应该采用强大的实施科学方法.
- 可持续的资金,明确的社会需求支出指南和协作治理对于CRRS增长至关重要.
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