[对初级保健咨询中健康的社会决定因素编码指南的评估:一项混合研究]
Berta Rodoreda-Pallàs1, Eva Torra Escarrer2, Jaume Sanahuja Juncadella3
1Grup d'Investigació Promoció de la Salut en l' Àmbit Rural, Gerència d'Atenció Primària i a la Comunitat de la Catalunya Central, Institut Català de la Salut, Sant Fruitós de Bages, Barcelona, España; Centre d'Atenció Primària de Santpedor,EAP Navarcles/Sant Fruitós/Santpedor, Bages, Gerència d'Atenció Primària i a la Comunitat de la Catalunya Central, Institut Català de la Salut, Barcelona, España.
一个新的编码指南显著改善了初级保健中健康的社会决定因素的文档. 该工具可以改善医疗保健专业人员的日常工作流程,从而改善患者护理和健康公平.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响患者的结果.
- 对SDOH的有效记录对于全面的初级保健至关重要.
- 当前的工作流程往往缺乏用于捕获SDOH的标准化方法.
研究的目的:
- 评估SDOH在初级保健机构中新编码指南的有效性.
- 评估本指南如何融入医疗保健专业人员的日常工作流程.
- 确定指南是否有助于在咨询期间更好地记录SDOH.
主要方法:
- 进行了一项混合方法的顺序解释性研究.
- 定量分析涉及对干预和对照组之间的SDOH编码进行比较.
- 定性主题分析探讨了医疗保健专业人员对指南有用性和可行性的看法.
主要成果:
- 与对照组 (19.53%) 相比,干预组的SDOH编码显著增加 (32.26%) (P < .001).
- 在干预组中,记录的SDOH诊断数量大幅增加 (312至1322).
- 定性数据强调了指南的有效性,适当性,有用性,实用性和可行性.
结论:
- 开发的SDOH编码指南是有效的,适用于初级保健.
- 该指南可以成功地应用于初级保健专业人员的日常工作流程中.
- 这种工具有助于更好地记录健康的社会决定因素,从而有可能改善患者的护理.
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