单个金融保障问题的准确性,以选社会需求
Janel Hanmer1, Kristin N Ray2, Kelsey Schweiberger2
1Department of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Pediatrics
|December 1, 2023
概括
一个单一的财务压力问题不是对社会需求的可靠预先选,如粮食不安全或儿科护理中的住房不稳定. 它错过了很大一部分需要支持的家庭,这表明它的敏感性很低.
科学领域:
- 儿科初级护理专业的儿童初级护理
- 健康的社会决定因素
- 卫生公平性健康公平性
背景情况:
- 临床指南建议在患者接触期间对社会需求进行查.
- 用于评估社会需求的多项问卷可以增加患者的负担.
- 探索单个问题选器对于高效的临床工作流程至关重要.
研究的目的:
- 评估单个金融压力问题的有效性,作为对粮食不安全,住房不稳定和交通需求的预先选.
- 确定金融压力问题的敏感性和特异性,以确定其他社会需求.
主要方法:
- 对11岁以下儿童的医疗记录数据的回顾性分析.
- 2022年从45个小儿初级护理办公室收集的数据.
- 通过患者门户,平板电脑或口头互动进行自动化社会需求查.
主要成果:
- 17%的受访者报告至少有一个社会需求 (食物,住房或交通).
- 财务压力问题显示,对任何社会需求的灵敏度为0.788.
- 这个单一问题预测屏幕会错过9.7%的粮食不安全,22.6%的住房不稳定和33.0%的交通需求.
结论:
- 关于财务压力的单个问题不是确定粮食不安全,住房不稳定或交通需求的合适预先选.
- 金融压力问题的低敏感性限制了其在预先选策略中的有用性.
- 需要进一步的研究来确定更有效的简要选工具,以满足社会需求.
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