识别和解决与健康相关的社会需求:医疗补助计划成员的观点
Meagan J Sabatino1, Kate Sullivan2, Matthew J Alcusky3
1Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA. meagan.sabatino@umassmed.edu.
BMC health services research
|October 8, 2024
概括
医疗补助会员经常有未满足的与健康有关的社会需求 (HRSNs),他们更愿意与社区护理协调员讨论这些问题. 与多元化的护理团队建立信任,可以改善对这些基本服务的查和转诊.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 以患者为中心的护理
背景情况:
- 医疗机构越来越多地选与健康相关的社会需求 (HRSNs).
- 患者对HRSN查和转诊的看法仍未得到充分研究.
- 了解患者参与对于有效的HRSN干预至关重要.
研究的目的:
- 探索马萨诸塞州医疗补助 (MassHealth) 成员如何与临床医生讨论HRSN.
- 确定由MassHealth成员讨论的常见HRSN.
- 评估会员对临床医生如何处理他们的HRSNs的看法.
主要方法:
- 使用44名成年MassHealth成员的深度采访进行的定性研究.
- 在2022年6月至10月期间进行的采访.
- 对记录的采访数据进行系统编码和主题分析.
主要成果:
- 成员讨论HRSN的舒适性各不相同;有些人感到担心.
- 与HRSN查的经验在参与者之间不一致.
- 大多数报告未满足HRSN (住房,营养,财务,交通) 与众多障碍.
- 许多人更喜欢与社区护理协调员讨论HRSN,而不是临床医生.
- 社区护理协调员对于将会员与资源联系起来至关重要.
结论:
- 提高HRSN查效率需要在跨学科团队中加强患者与医疗服务提供者的关系.
- 投资跨部门合作伙伴关系和改进查工作流程至关重要.
- 创造一个有利的环境鼓励对HRSN的公开讨论,并促进获得服务的机会.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Standards of Care I
670
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
670
Nursing Diagnosis
2.6K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.6K


