健康查,转诊和结果的社会决定因素:走向基于证据的模拟模型
1Drexel University, Philadelphia PA, USA.
Studies in health technology and informatics
|July 25, 2024
概括
为健康的社会决定因素 (SDOH) 查和转诊开发一个概念模型至关重要. 该模型确定了影响患者与资源联系的因素,突出了转诊完成的差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响患者的健康结果.
- 有效的查和推流程对于解决未得到满足的社会需求至关重要.
- 现有的模型在详细描述SDOH查和转诊过程时缺乏全面性.
研究的目的:
- 开发一个基于证据的,复杂的,多因素的概念模型SDOH查和转诊过程.
- 明确定义影响SDOH平台使用的患者和护理团队因素.
- 为了促进患者与社区资源的联系,并改善健康结果.
主要方法:
- 对证据进行了全面的审查,以确定关键因素.
- 该模型是通过组织88个已识别的因素来开发的.
- 这些因素被分类到人,系统和组织层面,并绘制出过程阶段和健康结果的地图.
主要成果:
- 该概念模型整合了88个因素,跨越了查和转诊过程的五个主要阶段.
- 这些因素在个人,系统和组织层面分为八个类别.
- 分析显示,与查相关的因素密度很高,涉及转诊完成的因素较少.
结论:
- 开发的模型为了解SDOH查和转诊过程提供了详细的框架.
- 它强调了需要干预的领域,特别是关于提交完成的领域.
- 该模型作为开发模拟模型的基础,用于在现实世界实施之前测试干预措施.
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