在美国医疗保健机构中评估社会查的实施:一个系统的范围审查
Emilia H De Marchis1, Benjamin A Aceves1, Erika M Brown1
1From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, LMG); School of Public Health, San Diego State University (BA); California Policy Lab, University of California, Berkeley (EMB); Joint Medical Program, University of California, Berkeley (VL); Department of Emergency Medicine, University of California, San Francisco (MFM).
Journal of the American Board of Family Medicine : JABFM
|July 19, 2023
概括
实施医疗保健社会查面临挑战. 劳动力教育和标准化工具有助于采用和整合,但时间仍然是一个障碍,选公平需要进一步研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 医疗保健改革越来越多地促进了社会需求查.
- 关于在临床环境中实施社会查的综合研究有限.
- 了解实施研究对于实践和政策至关重要.
研究的目的:
- 系统地审查和综合关于实施基于医疗保健的社会查的研究.
- 确定社会查覆盖范围,采用,实施和维护的促进者和障碍.
- 为社会查倡议提供最佳实践和政策信息.
主要方法:
- 对同行评审文献的系统范围审查 (2011-2022年).
- 使用关键词对医疗保健查和社会风险因素进行了PubMed和Embase搜索.
- 包括关于实施多领域社会查的研究,并报告了结果.
主要成果:
- 包含了42篇文章,分析了覆盖范围,采用,实施和维护.
- 查范围因患者的种族/种族和语言偏好而有所不同.
- 劳动力教育和质量改善项目促进了采用.
- 时间限制是实施的主要障碍;标准化工具和社区卫生工作者/技术改善了整合和披露.
- 关于查维护的数据有限,一项研究显示随着时间的推移,查的数量下降.
结论:
- 在实施社会查方面仍然存在显著的证据差距.
- 临床工作流集成和最大限度地提高查公平性的有效策略需要进一步研究.
- 未来的研究应该专注于从新兴的查计划中扩展最佳实践.
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