法律问题如何在医疗保健环境中被概念化和衡量:系统性审查
Joshua R Vest1,2, Rachel J Hinrichs3, Heidi Hosler4
1Indiana University Richard M Fairbanks School of Public Health, Indianapolis, IN, USA. joshvest@iu.edu.
Health & justice
|November 18, 2023
概括
法律问题在患者中很常见,影响健康和服务获取. 医疗保健机构使用多种方法来衡量这些问题,突出显示了持续查和干预的挑战.
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:
- 法律问题是一个重要的社会风险因素,影响医疗保健和患者健康状况.
- 了解医疗保健中如何识别法律问题对于解决患者需求至关重要.
研究的目的:
- 系统地审查和分析"法律问题"如何在美国医疗保健机构中运作和衡量.
- 在患者群体中确定法律问题的测量中常见的概念和变化.
主要方法:
- 对同行评审的英语卫生文献进行系统审查,遵循PRISMA指南.
- 纳入标准侧重于在美国医疗保健或临床环境中测量或选法律问题的研究.
- 数据抽象包括流行率,人口特征和法律问题措施的概念组成部分.
主要成果:
- 58项研究报告了82种不同的法律问题的措施.
- 监禁是最常见的概念 (57%),通常被测量为一个单一的概念.
- 研究报告的法律问题的平均患病率为26%.
结论:
- 在医疗保健机构的患者中,法律问题很普遍.
- 测量定义和方法的广泛变化给旨在解决这些问题的组织带来了挑战.
- 需要标准化查和干预策略,以有效地管理医疗保健中的法律问题.
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