在有社会需求的家庭中参与临床推和导航服务
Abigail Seide1,2, Omolara Thomas Uwemedimo3, Rehana Rasul4
1Northwell Health, New Hyde Park, New York.
JAMA network open
|February 28, 2025
概括
儿童家庭的社会需求未得到满足,包括基本需求和经济挑战,更有可能接受援助. 这凸显了健康社会决定因素 (SDOH) 查和转诊计划在临床环境中的重要性.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响健康结果.
- 在临床环境中解决未得到满足的社会需求,有可能改善儿科健康.
- 在儿科护理中选和推社会需求是一个新兴的策略.
研究的目的:
- 确定未满足社会需求的儿科家庭的流行率和人口统计数据.
- 调查未满足的社会需求与接受儿科诊所协助之间的联系.
- 确定影响社会挑战的家庭对援助感兴趣的因素.
主要方法:
- 一项横截面研究分析了美国学术儿科实践中综合性SDOH查和转诊计划的数据.
- 从758名17岁以下患者的护理人员收集了数据,其中至少有一个报告的社会需求.
- 统计分析包括社会需求分类的因子分析,奇平方测试和多变量波桑回归.
主要成果:
- 报告基本需求,压力,经济流动性挑战或边缘化的家庭对援助的兴趣更高.
- 认定为黑人或其他种族/族裔的照顾者,以及缺乏足够的社会支持的人,更有可能接受推服务.
- 很大一部分护理人员 (41.6%) 对援助不感兴趣,这表明需要量身定制的方法.
结论:
- 在儿科环境中实施SDOH转诊计划可以促进健康公平,特别是对于边缘化群体.
- 调查结果表明,对于那些不愿意接受援助的家庭来说,有策略可以改善转诊流程.
- 解决社会需求对于改善儿童整体健康和福祉至关重要.
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