为科罗拉多州儿童开发健康需求评估的社会决定因素 (SNACK) 学校喘计划的工具:试点研究的发现
Sarah E Brewer1,2, Lisa R DeCamp1,3, Julia Reedy1
1Adult and Child Consortium for Outcomes Research and Delivery Science, Aurora, CO.
Ethnicity & disease
|June 7, 2024
概括
一个新的基于社区的查工具有效地识别了家庭健康需求的社会决定因素 (SDOH),改善了学校的喘计划. 这种工具是家长可以接受的,有助于解决健康差异.
科学领域:
- 社区健康 社区健康
- 健康差异 在健康上的差异
- 喘管理 喘管理
背景情况:
- 基于学校的喘计划可以减少不受控制的喘和健康差异.
- 现有的健康社会决定因素 (SDOH) 查工具是为临床环境而设计的.
- 需要针对学校课程量身定制的基于社区的SDOH查工具.
研究的目的:
- 开发和试验一个基于社区的SDOH查工具.
- 确保该工具对家长来说是可以接受的,对员工来说是可行的.
- 为了解决SDOH的需要,在学校环境中影响喘管理.
主要方法:
- 采用了四个阶段的代设计过程.
- 一个经过修改的Delphi过程确定了选域.
- 一个定性试点测试评估了社区卫生中心的可接受性和可行性.
主要成果:
- 开发的SDOH工具包括六个领域:医疗保健获取,交通,粮食不安全,公共福利,住房和公用事业.
- 通过41次查进行试点测试,家长们对该工具的接受度很高,他们发现该工具清晰易用.
- 护理协调员更喜欢试点工具而不是现有方法,并建议改善患者报告.
结论:
- 一个基于社区的SDOH查工具已经成功开发和验证了可接受性.
- 这个工具可以在学校的喘计划中实施,以识别和解决未满足的家庭需求.
- 解决SDOH对于改善喘结果和减少健康差异至关重要.
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