与健康相关的社会风险与儿童急诊室的需求对比
Mia M Kanak1, Amanda M Stewart2, Lawrence Chang3
1Division of Emergency Medicine and Transport Medicine, Children's Hospital Los Angeles, Los Angeles, California.
American journal of preventive medicine
|March 30, 2024
概括
在儿科急诊室,并非所有与社会风险相关的患者都表示需要帮助. 医疗保健提供者应应对社会风险,并表达对有效社会护理干预措施的需求.
科学领域:
- 儿科急救医学 儿科急救医学
- 健康的社会决定因素
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与健康相关的社会问题包括社会风险 (例如,粮食不安全) 和社会需求 (例如,希望获得计划转介).
- 通过查工具,患者对社会风险的识别可能与他们对援助的表达愿望不一致.
- 了解这种差异对于医疗保健机构的有效社会护理干预至关重要.
研究的目的:
- 在儿科急诊室中,识别和比较具有社会风险的患者与社会需求.
- 分析患者查的社会风险与自我识别的社会需求之间的相关性.
- 为儿童医疗保健中制定有针对性的社会护理策略提供信息.
主要方法:
- 在城市三级儿科急诊室进行的一项前性干预研究的二次分析.
- 参与者完成了社会风险查工具,并通过选择所需的服务来自我识别社会需求.
- 将社会风险查结果与选定的社会需求进行比较,分析人口统计和社会经济因素.
主要成果:
- 42.2%的参与者对至少一个社会风险进行了查,而38.0%的参与者认为自己有社会需求.
- 只有59.2%的查结果为风险阳性的人也自行选择了需要.
- 有关社会风险的患者之间观察到显著的人口统计和社会经济差异,他们对援助感兴趣,而不是对援助感兴趣.
结论:
- 社会风险和自我识别的社会需求都是儿科医疗保健中的重要考虑因素.
- 社会护理干预措施应设计以应对已识别的风险和表达的需求.
- 综合查和需求评估对于全面的患者护理至关重要.
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