在社会风险因子查中的非响应偏差 在成年急诊室患者中
Joshua R Vest1,2, Olena Mazurenko3
1Department of Health Policy & Management, Indiana University Richard M. Fairbanks School of Public Health - Indianapolis, 1050 Wishard Blvd, Indianapolis, IN, 46202, USA.
Journal of medical systems
|July 22, 2023
概括
经过记录的财务不安全的患者不太可能完成社会因素查问卷,这表明医疗保健中的潜在选择偏见. 这凸显了准确评估健康的社会决定因素所面临的挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 医疗机构越来越多地使用查问卷来确定患者的社会因素.
- 对这些查的不响应可能会引入选择偏见,可能会扭曲研究结果.
- 了解影响参与的因素对于健康评估的准确社会决定因素至关重要.
研究的目的:
- 在社会因素选中评估受访者和非受访者之间的差异.
- 确定与参与社会因素查问卷相关的患者特征.
主要方法:
- 使用后勤回归的横截面研究设计.
- 对来自中西部安全网医院急诊室的患者进行分析.
- 自然语言处理将参与状态与人口统计,临床和社会风险数据联系起来.
主要成果:
- 近60%的受访者 (59.9%) 完成了查问卷.
- 之前有财务不安全记录的患者反应的可能性降低了22% (p=0.019).
- 没有其他患者特征与查反应有显著的关联.
结论:
- 由于差异性非响应,在社会因素查中可能存在选择偏差.
- 研究结果证实了当前收集健康数据的社会决定因素存在潜在的局限性.
- 需要进一步的研究来解决选参与的障碍.
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