在临床环境中解决社会需求:实施和对医疗保健利用,成本和医疗保健整合的影响
Emmeline Chuang1, Nadia Safaeinili2
1School of Social Welfare, Mack Center on Public and Nonprofit Management in the Human Services, University of California, Berkeley, California, USA;
医疗机构越来越多地关注健康的社会驱动因素,以改善结果. 本综述审查了他们的策略,并总结了对医疗保健利用和成本的影响的证据.
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
- 卫生政策 卫生政策
背景情况:
- 社会,经济和环境因素显著影响健康和健康公平.
- 医疗保健政策越来越强调解决健康的社会驱动因素 (SDOH).
- 对于医疗保健提供者和支付者在临床环境中实施SDOH干预措施的了解有限.
研究的目的:
- 审查当前的美国医疗保健组织和公共支付人的努力,以解决SDOH.
- 总结这些干预措施对医疗保健利用,成本和护理整合的影响的证据.
- 确定从SDOH干预实施中吸取的关键经验教训.
主要方法:
- 对美国医疗保健机构和公共支付机构 (医疗补助,医疗保险) 当前努力的文献综述.
- 对个人和社区层面的干预影响现有证据的分析.
- 综合实施的经验教训.
主要成果:
- 医疗机构和支付人正在实施各种策略来解决SDOH问题.
- 关于干预对医疗保健利用,成本和护理整合的影响的证据有限.
- 从实施努力中,关于挑战和最佳实践的关键教训正在出现.
结论:
- 医疗保健系统正在积极参与健康的社会驱动因素.
- 需要进一步的研究来确定SDOH干预措施的有效性和成本效益.
- 实施科学为扩大成功的SDOH举措提供了宝贵的见解.
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