儿童医院中的社会和医疗护理整合实践
Matthew S Pantell1,2, A Jay Holmgren3,4, Jana C Leary5
1Division of Pediatric Hospital Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California.
Hospital pediatrics
|September 18, 2023
概括
大多数儿童医院对健康的社会决定因素 (SDOH) 进行查,并制定了解决这些问题的策略,但实践在很大程度上有所不同. 这种变化凸显了在医院中持续监测SDOH护理的需要.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 儿科护理 儿科护理
背景情况:
- 越来越多的证据将社会风险因素与不良健康结果联系在一起.
- 医院面临着新的激励措施,以选健康的社会决定因素 (SDOH).
- 目前关于儿童医院当前的社会风险相关护理实践的数据有限.
研究的目的:
- 在儿童医院的全国样本中描述与社会风险相关的护理实践.
- 识别查,干预策略和社区伙伴关系的变化.
- 评估SDOH干预措施的评估.
主要方法:
- 2020年美国医院协会年度调查数据的分析.
- 对于SDOH查,策略和伙伴关系的流行率计算.
- 根据医院的特点对实践进行比较,使用权重数据和千二测试.
主要成果:
- 79.6%的儿童医院对社会需求进行了查;96.0%的儿童医院有策略应对至少一个社会风险.
- 对于患者层面的风险,合作伙伴关系比社区层面的倡议更为常见.
- 39.2%的医院评估了SDOH干预措施的有效性.
结论:
- 在儿童医院中,与社会风险相关的护理实践存在显著的差异.
- 实践根据SDOH领域和医院特征 (所有权,医疗补助人口) 不同.
- 调查结果为监测应对新医疗保健激励措施的变化提供了基线.
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