外科医生对健康的社会决定因素的理解和感知
Gwyneth A Sullivan1, Yumiko Gely2, Zachary M Palmisano2
1Department of Surgery, Rush University Medical Center, Chicago, Illinois.
The Journal of surgical research
|October 21, 2023
概括
外科医生报告说,他们对健康的社会决定因素 (SDOH) 及其重要性有很高的认识. 然而,基础结构因素的知识缺口可能会限制患者护理中的实际应用.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 在外科手术实践中.
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响手术结果.
- 了解外科医生对SDOH的看法对于开发有效的干预措施至关重要.
- 解决患者需求需要描述与SDOH相关的外科医生意识和做法.
研究的目的:
- 探索外科医生对健康社会决定因素的理解.
- 评估外科医生对SDOH的感知重要性.
- 调查与SDOH相关的现有实践在外科环境中.
主要方法:
- 在一个学术医疗中心对外科住院生和主持外科医生进行调查.
- 半结构面试以进一步探索理解和感知的重要性.
- 以世界卫生组织关于SDOH的概念框架为指导的主题分析.
主要成果:
- 在外科医生中,SDOH的高度自我了解 (42.0%) 和感知重要性 (60.9%).
- 有限的文档 (50.7%) 和转介 (37.7%很少,29.0%从未) 对于SDOH相关的问题.
- 居民对结构性机制的理解比临床医生更强,但发现了有关社会,经济和政治背景的知识差距.
结论:
- 外科医生报告了高度的自我意识和对SDOH的尊重.
- 在理解结构决定因素方面发现的差距可能会阻碍SDOH原则在外科护理中的实际应用.
- 需要进一步培训,以弥合知识差距,并改善SDOH信息的外科手术实践.
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