社会风险查的新质量措施是否"适用"?
Kameswari Potharaju1, Laura M Gottlieb2,3, Matthew Pantell4
1UC Berkeley-UCSF Joint Medical Program, Berkeley.
Current opinion in pediatrics
|November 7, 2024
概括
在儿科中进行社会风险查的方法和实施挑战各不相同. 目前的标准缺乏改善儿童健康或公平的证据,需要专注于查质量和结果.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 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:
- 医疗机构面临社会风险查的新标准和指标.
- 总结了近期关于儿科环境中社会风险查的文献.
- 确定证据缺口,以告知未来的标准开发.
研究的目的:
- 审查有关儿童医疗保健中社会风险查的文献.
- 分析当前的证据和差距如何为社会风险查的未来标准提供信息.
- 评估社会风险查对儿童健康和健康公平的影响.
主要方法:
- 在儿科医疗保健中对社会风险查的系统文献综述.
- 分析报告的查率,措施和方式.
- 检查护理人员和提供者的体验与查和后续.
- 审查评估查对健康结果的影响的研究.
主要成果:
- 报告的社会风险查率,措施和方法存在显著差异.
- 报道了护理人员和前线提供者对查的接受度,但实施面临挑战 (时间,劳动力,社会服务).
- 很少有研究评估社会风险查对健康的结果,而是关注援助计划的直接影响.
结论:
- 目前的文献没有证实查量标准是否有助于改善儿童健康或公平.
- 质量措施应整合患者/护理人员的经验,而不仅仅是查数字.
- 未来的努力必须将查质量与改善儿童的社会和健康结果联系起来.
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