健康的社会决定因素 精神卫生环境中的Z码文档实践:范围审查
Rachele M Hendricks-Sturrup1, Sandra E Yankah1, Christine Y Lu2,3,4
1Duke-Robert J. Margolis, MD, Institute for Health Policy, Washington, DC 20004, United States.
Health affairs scholar
|May 17, 2024
概括
健康的社会决定因素 (SDoH) Z-代码文档在心理健康护理机构中很少. 改进SDoH Z-code的使用可以提高对有复杂心理健康需求的患者的护理.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 心理健康是一个全球优先事项,健康的社会决定因素 (SDoH) 显著影响精神疾病.
- SDoH因子可以使用国际疾病分类,第十修订,临床修改 (ICD-10-CM) Z代码进行编码.
- 目前在心理健康护理中的SDoH Z-code文档化实践尚未得到充分理解.
研究的目的:
- 审查当前的SDoH Z-代码文档化实践.
- 专注于在心理健康护理背景下应用SDoH Z代码.
- 确定影响SDoH Z-code文档化率的因素.
主要方法:
- 在美国对12项研究进行了范围审查.
- 分析了超过27亿次医疗保健接触.
- 检查各种患者和医院特征的文档模式.
主要成果:
- 在包括的研究中,SDoH Z-code 文档化率在0.5%至2.4%之间.
- 对于年轻的,有公共保险的患者,这些患者患有诸如抑郁症,双相情感障碍,精神分裂症,慢性肺炎和药物滥用障碍等并发症,记录更为频繁.
- 根据医院类型,规模,患者人口统计 (种族/族裔,性别/性别) 和地区的不同,政府和非营利性医院的比率更高.
结论:
- 精神卫生保健中的常规SDoH Z-code文档目前是有限的.
- 提供了关于政策和实践的建议,以激励增加SDoH Z-code的使用.
- 对患者数据隐私,安全和保密的考虑对于促进例行记录至关重要.
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