使用集群分析识别具有较高社会需求风险的退伍军人
Hannah Friedman1, Mingfei Li2,3, Kimberly L Harvey4
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, USA. Hannah.friedman2@va.gov.
一群退伍军人,年轻人,女性和少数群体比例较高,面临着未满足社会需求,特别是公用事业需求的风险增加. 这一发现有助于针对性的社会需求选工作.
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
- 健康的社会决定因素
背景情况:
- 社会需求查对人口健康和减少差距至关重要.
- 对有效的社会需求查的障碍仍然存在.
- 行政数据可以确定有针对性的干预措施的风险患者人群.
研究的目的:
- 证明集群分析用于识别面临社会需求风险的患者群体.
- 为特定的社会需求进行查和推策略提供信息.
主要方法:
- 基于人口统计,健康和医疗保健利用变量的2010年退伍军人的集群分析.
- 调查评估了九种类型的社会需求.
- 权重后勤回归分析了确定集群与社会需求风险之间的关联.
主要成果:
- 通过集群分析确定了一个独特的退伍军人人口部分.
- 这一群体的特点是年龄较小,女性较多,种族少数群体较多,出现一个或多个未满足的社会需求的风险更高 (OR 1.74).
- 这一群人对公用事业需求的风险也明显高 (OR 3.78).
结论:
- 识别未满足社会需求的人群的特征使得有针对性的查成为可能.
- 鉴定到的集群较年轻,并具有较少的并发症,可能会被传统的医疗保健互动所忽视.
- 这凸显了对社会需求评估采取主动,数据驱动的方法的需要.
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