使用Z代码在电子健康记录中记录社会风险因素:一个范围广泛的审查
Kelley M Baker1, Mary A Hill2,3, Debora G Goldberg1
1Department of Health Administration and Policy, College of Public Health, George Mason University, Fairfax, VA.
Medical care
|November 21, 2024
概括
在电子健康记录中记录社会风险的Z代码的使用率很低,但研究兴趣正在增长. 了解Z码的使用是改善健康结果的关键.
科学领域:
- 医疗信息学 医疗信息学
- 健康的社会决定因素
- 医学编码 医学编码
背景情况:
- 个别的社会风险因素对健康结果产生重大影响.
- 电子健康记录可以使用ICD-10诊断码 (Z码) 记录社会风险.
- 这项研究综合了关于Z代码用于社会风险文档的现有文献.
研究的目的:
- 进行关于Z代码用于记录社会风险的文献范围审查.
- 为了确定 Z 代码使用率的趋势和模式.
- 为增加社会风险文件的策略提供信息,以改善患者健康.
主要方法:
- 使用主要数据库 (PubMed,Medline,CINAHL,Web of Science) 进行了全面的范围审查.
- 包括的研究是在2024年6月之前在同行评审期刊上以英语出版的,并报告了美国的Z码利用率.
- 数据提取的重点是Z码使用率,患者/遭遇人口统计数据以及相关的医疗保健利用率.
主要成果:
- 三十二篇文章符合纳入标准.
- Z代码使用率差异很大:0.4%-17.6% (患者级) 和0.1%-3.7% (遭遇级),平均值分别为1.2%和1.4%.
- 最常见的代码是Z59 (住房/经济),Z63 (支持组) 和Z62 (教育). 患有Z码的患者往往更年轻,男性,非白人,医疗费用更高.
结论:
- 目前在医疗保健机构中,Z码用于社会风险文件的使用率很低.
- 越来越多的研究兴趣表明,可能会增加采用.
- 增强的Z码文档对于解决健康的社会决定因素和改善整体健康结果至关重要.
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