将社会需求纳入医疗保健:从实施科学角度来看
Maura Kepper1, Callie Walsh-Bailey2, Constance Owens-Jasey3
1Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri, USA;
Annual review of public health
|October 30, 2024
概括
医疗保健系统正在整合社会需求护理,以改善患者健康. 通过政策,协作和基于证据的战略解决障碍对于成功实施和可持续性至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 未满足的社会需求,如住房不稳定和粮食不安全,严重阻碍患者参与健康行为并实现最佳健康结果.
- 医疗保健系统越来越多地在临床环境中采用社会需求查和援助.
- 实施和维持这些计划面临着许多挑战,需要与社会服务组织合作.
研究的目的:
- 审查美国医疗保健系统中社会需求护理的实施方法.
- 系统地识别使用实施科学框架实施和维持社会需求护理的多层次障碍和促进者.
主要方法:
- 对实施方法的系统审查.
- 应用实施科学框架来分析障碍和促进者.
- 分析政策,经济投资和跨部门参与的作用.
主要成果:
- 政策和经济投资是临床和社会服务环境中成功的关键决定因素.
- 跨部门参与,基于证据的战略和能力建设提高了实施.
- 多层次的障碍和促进者影响社会需求护理的整合和可持续性.
结论:
- 成功和持续实施社会需求护理可以提高医疗保健质量,人口健康和健康公平.
- 医疗保健和社会服务部门之间的合作至关重要.
- 政策和财政支持对于克服实施挑战至关重要.
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