建立区域卫生系统和社区组织社会护理协调网络:地理空间分析的应用
Stephanie L Fitzpatrick1,2, Matthew P Banegas3,4, David M Mosen2
1Northwell, Institute of Health System Science, Feinstein Institutes for Medical Research, and Department of Medicine, New Hyde Park, NY, USA.
The Permanente journal
|August 16, 2024
概括
一项研究发现,97%-98%的卫生系统成员有社会需求,如住房不稳定或粮食不安全,生活在30分钟内的护理提供者. 这突显了卫生系统和社区伙伴关系在解决健康的社会决定因素方面的成功.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 地理空间分析是什么
背景情况:
- 健康的不利社会决定因素 (SDOH) 会增加慢性疾病的风险.
- 卫生系统越来越多地选与健康相关的社会需求 (HRSNs).
- 社区对HRSN资源的可用性往往没有得到审查.
研究的目的:
- 评估社会护理协调网络对HRSNs患者的地理覆盖范围.
- 评估卫生系统成员对社区组织 (CBO) 的可访问性.
主要方法:
- 地理空间分析被用来识别HRSN患者的热点 (运输,住房,粮食不安全,财务压力).
- 计算出30分钟的旅行时间半径,以确定获得社会护理提供者的机会.
- 分析了来自185,535名凯撒永恒西北地区会员的数据 (2022年4月至2023年4月).
主要成果:
- 97%到98%的HRSNs的成员在30分钟的旅行时间内到达社会护理提供者.
- 居住距离服务30分钟以上的会员主要来自农村地区.
- 地理空间方法有效地绘制了HRSN群体的服务可访问性.
结论:
- 卫生系统和公共卫生组织之间的伙伴关系对于有效的社会护理协调至关重要.
- 患者层面的HRSN数据对于评估和改善网络覆盖率是有价值的.
- 对社区资源的投资对于解决健康的社会决定因素和确保公平获得护理至关重要.
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