预医院环境中的社会需求 (SNIPS):EMS对解决患者社会需求的态度
Daniel Berger1, Catherine Caldwell2, Meghan E Robbins3
1Virginia Commonwealth University Health System, Richmond, VA.
International journal of paramedicine
|October 30, 2023
概括
紧急医疗服务 (EMS) 的临床医生对解决健康的社会决定因素表示兴趣. 关于健康和伙伴关系的社会决定因素的教育可以改善患者护理,减少不必要的运输.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 社会科学 社会科学 社会科学
背景情况:
- 健康的社会决定因素 (SDOH) 影响患者的结果,并导致不必要的紧急医疗服务 (EMS) 运输.
- 关于EMS临床医生对SDOH的理解以及他们愿意解决患者的社会需求的研究有限.
研究的目的:
- 评估EMS临床医生对SDOH的认识.
- 评估EMS临床医生对解决患者社会需求的干预措施的态度.
- 探索SDOH意识,倦怠和干预意愿之间的关系.
主要方法:
- 一项采用基于互联网的调查分布在全国EMS临床医生的横截面研究.
- 采用多种招聘策略来确保广泛参与.
- 数据使用描述性统计和奇方位测试进行了分析.
主要成果:
- 在1112名接受调查的EMS临床医生中,43.4%的人熟悉"健康的社会决定因素"一词.
- 87.7%的查结果为燃烧;然而,燃烧并没有影响使用资源的意愿.
- 超过60%的人表示愿意使用拟议的干预措施,熟悉SDOH与愿意和感知到的责任有积极的相关性.
结论:
- 临床医生对解决患者的社会需求表现出兴趣,这表明他们对扩大角色的接受度很高.
- 关于SDOH的教育可能会增强EMS临床医生对自己的责任和利用干预措施的意愿的信念.
- 倦怠可能不是在EMS中实施以SDOH为重点的干预措施的重大障碍.
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