实施和增强社会和经济需求查在联邦合格卫生中心
Lacey Johnson1, David T Liss2,3, Paula Carcamo4
1Erie Family Health Centers, Chicago, IL, USA. LJohnson@eriefamilyhealth.org.
Journal of general internal medicine
|September 15, 2023
概括
在联邦合格卫生中心 (FQHCs) 实施社会和经济需求 (SENs) 查是可行的. 计划的改进显著提高了社区资源的患者随访率.
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:
- 选社会和经济需求 (SENs) 计划面临实施挑战.
- 联邦合格卫生中心 (FQHC) 服务于弱势群体,使其成为SEN查的关键地点.
- 有效的SEN查对于解决健康差异和改善患者结果至关重要.
研究的目的:
- 描述一个大型FQHC的SEN查计划的实施情况.
- 评估计划改进在改善患者参与和随访方面的有效性.
- 确定在不同患者群体中成功进行SEN查的关键策略.
主要方法:
- 采用分阶段实施的方法,从基本兴趣预先选开始,并逐步发展到首选的沟通模式.
- 该计划在一个大型的FQHC中实施,服务于医疗补助保险的主要西班牙裔/拉丁裔人口.
- 改进包括增加人员数量和调整查频率,以管理积压和提高接触率.
主要成果:
- 在第一阶段,30%的患者表达了对资源的兴趣,只有40%成功联系.
- 在第二阶段,27%的人表达了兴趣,程序的改进使成功联系率提高到84%,使用各种沟通方法.
- 在第二阶段,短信/电子邮件和电话都是同样有效的沟通方式.
结论:
- 很大一部分FQHC患者对获得社会和经济需求的资源感兴趣.
- 计划性调整和量身定制的沟通策略对于成功实施SEN查至关重要.
- 随访率的提高表明,FQHC有潜力有效地将患者与社区资源联系起来.
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