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改变局面:启动一个多模式,居民运营的社会紧急医疗计划
Naomi P Newton1, Christopher Freeman2, Patricia Panakos2
1Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
The western journal of emergency medicine
|September 25, 2024
概括
紧急医生正在通过一个新的社会EM计划来解决健康的社会决定因素 (SDoH). 早期结果显示,居民知识得到改善,社区干预成功,包括Narcan分发和患者导航.
科学领域:
- 社会医学 社会医学
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 社会医学将患者的社会背景融入医疗保健中.
- 紧急医生对于在前线解决健康的社会决定因素 (SDoH) 是至关重要的.
- 迈阿密-戴德县具有独特的社会脆弱性,需要有针对性的干预措施.
研究的目的:
- 在紧急部门 (ED) 启动和评估一个多式联运,居民领导的社会EM计划.
- 在多样化,高需求的城市环境中,在患者中识别和解决SDoH.
- 提高紧急医疗住院人员管理SDoH的能力.
主要方法:
- 一个四个支柱的方法:课程整合,社区外展,获得护理和社会正义.
- 实施一个为期18个月的社会EM课程,选修课程和纵向轨道.
- 通过合作伙伴关系开发可持续的倡议,包括Narcan分销和患者导航计划.
主要成果:
- 最初的数据表明,居民对管理SDoH的知识和信心有所提高.
- 纳尔坎倡议对1188名患者进行了查,分发了纳尔坎给144名患者.
- 患者导航计划招募了31名患者,其中18人获得门诊护理.
结论:
- 该计划代表了社会EM的强大模式,超越了服务的解决方案生成.
- 它全面地解决了SDoH在紧急部门设置之外.
- 该计划旨在为居民提供社会紧急医疗原则的高级技能.
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