了解马里兰州医疗保险患者的初级保健实践中的社会需求查和人口统计数据收集
Claire M Starling1, Marjanna Smith2, Sadaf Kazi3,4
1Implementation Science, Healthcare Delivery Research Program, MedStar Health Research Institute, 6525 Belcrest Road, Suite 700, Hyattsville, MD, 20782, USA. claire.m.starling@medstar.net.
BMC health services research
|April 10, 2024
概括
初级保健实践广泛选社会需求并收集人口统计数据. 然而,对于具有挑战性的需求和详细的数据,需要进一步的支持,以推进健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 主要护理是指初级护理.
背景情况:
- 由于系统性不平等,健康的社会决定因素对健康结果产生重大影响.
- 初级保健机构对于识别和解决社会需求以及收集人口统计数据以促进健康公平至关重要.
- 关于在初级保健中进行社会需求查和人口统计数据收集的过程的研究有限.
研究的目的:
- 评估马里兰州初级保健计划 (MDPCP) 实践中社会需求查和人口统计数据收集的实施情况.
- 确定与全面与有针对性的社会需求查相关的因素.
- 了解如何利用收集的数据来推进健康公平.
主要方法:
- 来自507个MDPCP实践 (2022) 的横截面调查数据的分析.
- 描述性统计总结查和数据收集实践.
- 逐步回归以确定查所有与受益者子集的预测因素.
主要成果:
- 几乎所有 (99%) 的实践报告了社会需求查和人口统计数据收集.
- 在查工具,频率和数据利用方面,实践各不相同.
- 首要优先考虑的社会需求包括交通,粮食不安全,住房不稳定,财务压力和社会隔离.
结论:
- 在MDPCP中广泛采用社会需求选和人口统计数据收集.
- 需要加强支持,以解决复杂的社会需求和收集详细的人口统计数据.
- 需要进一步的研究来评估临床护理调整和数据对健康公平和结果的影响.
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