与健康相关的社会需求,方法和关注多社会风险评分:一个专家小组
Joshua R Vest1, Cassidy McNamee, Paul I Musey
1Indiana University, 1050 Wishard Blvd, Indianapolis, IN 46032.
The American journal of managed care
|February 20, 2025
概括
多社会风险评分可以通过总结与健康相关的社会需求来帮助管理人口健康. 然而,开发这种评分会带来数据,偏见和公平性方面的挑战.
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
- 医疗信息学 医疗信息学
背景情况:
- 与健康相关的社会需求 (HRSNs) 显著影响健康结果和医疗保健成本.
- 多社会风险评分旨在将多个HRSN整合到人口健康管理的单一风险指标中.
- 由于HRSNs的复杂性和可变性,现有的方法学面临着挑战.
研究的目的:
- 为指导多社会风险评分的开发和应用提供指导.
- 确定关键的与健康相关的社会需求,以便纳入风险评分.
- 解决得分开发中的方法论和道德方面的考虑.
主要方法:
- 一个涉及国家专家小组 (医生,社会服务专业人员,患者) 的三轮德尔菲过程.
- 第1轮:HRSN的重要性和初步建议. 第二轮:聚焦组对排名,包容性,数据管理,偏见和公平. 第三轮:后续调查.
- 使用共识编码方法分析焦点组成绩单.
主要成果:
- 17个HRSN被确定为与多社会风险评分相关的.
- 方法方面的担忧包括数据质量,缺少的信息,及时性,以及需要特定人群的得分.
- 专家们对潜在的偏见和评分的错误应用提出了重大担忧.
结论:
- 多社会风险评分为理解和解决HRSN提供了潜在的价值.
- 这些分数的开发和实施是复杂的,面临着相当大的挑战.
- 仔细考虑数据,偏见和公平对于负责任的应用至关重要.
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