检查与健康相关的社会需求:美国预防医学院的实践声明
Catherine J Livingston1, Tisha M Titus2, Tobi A Yerokun3
1Department of Family Medicine, Oregon Health & Science University, Portland, Oregon.
American journal of preventive medicine
|January 10, 2025
概括
在医疗保健机构中对与健康相关的社会需求 (HRSN) 的查显示出改善健康结果的希望. 然而,成功的全系统实施需要解决教育,运营和系统性差距.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在直接患者护理中,人们对与健康相关的社会需求 (HRSN) 查越来越感兴趣.
- HRSN查通常与解决健康的社会决定因素 (SDOH) 有关.
- 新出现的证据表明,HRSN查和转诊可以改善健康结果.
研究的目的:
- 确定在医疗保健机构实施HRSN查和转诊的关键考虑因素.
- 提供建议,以解决发现的实施差距.
- 强调需要以人口层面的方法来处理SDOH.
主要方法:
- 文献综述和对实施HRSN查现有证据的综合分析.
- 对教育,运营和系统障碍的分析.
- 根据发现的差距和最佳实践制定建议.
主要成果:
- 显著的教育,运营和系统性差距阻碍了广泛的HRSN查和转诊.
- 提供了建议,以促进有效实施.
- 识别了文献中的知识和证据差距,以指导未来的研究.
结论:
- 全系统实施HRSN查需要强大的支持系统.
- 解决HRSN对于改善人口健康结果至关重要.
- 未来的研究应该专注于基于证据的,人口层面的SDOH战略.
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