美国医生实践中的社会风险查趋势
Amanda L Brewster1, Hector P Rodriguez1, Genevra F Murray2
1Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley.
JAMA network open
|January 3, 2025
概括
美国医生实践中的社会风险查从2017年到2022年显著增加. 然而,不到三分之一的实践被选为所有五种共同的社会风险,突出需要进一步采用和结果评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 医疗保健政策 医疗保健政策
背景情况:
- 人们越来越认识到社会风险对健康结果的影响.
- 关于美国医生实践中社会风险查演变的有限数据.
研究的目的:
- 分析2017年至2022年间美国医生实践中社会风险查的趋势.
- 确定与采用社会风险查相关的实践特征.
主要方法:
- 使用国家卫生保健组织和系统调查 (2017年和2022年) 的数据进行了重复的横截面研究.
- 分析了3442家美国医生诊所的调查答案.
- 对五种常见的社会风险进行了查:食物,住房,公用事业,人际暴力和交通.
主要成果:
- 对所有五种社会风险进行查的实践显著增加,从2017年的15%增加到2022年的27% (P < .001).
- 每个实践中检查的社会风险的平均数量从1.71增加到2.34
- 联邦合格的卫生中心,更高的创新文化,先进的信息系统和更大的支付改革暴露与查增加有关.
结论:
- 社会风险查在美国医生实践中大幅增加,但大多数人仍然未充分利用.
- 需要进一步的研究来评估查和随后的干预措施对患者健康结果的影响.
- 政策和激励措施的调整对于促进全面的社会风险选和利用至关重要.
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