基于诊所的援助与集中呼叫中心对患者报告的社会需求的比较:随机试点社会卫生整合计划的调查结果
Ammarah Mahmud1,2, Meagan C Brown3,4, Edwin S Wong5
1Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA. amahmud@uw.edu.
这项研究比较了两个社会卫生计划,发现随着时间的推移,社会需求没有显著差异. 然而,转介到社会服务可能会减少社会需求.
科学领域:
- 医疗保健整合 医疗保健整合
- 健康的社会决定因素
- 初级保健干预措施 初级保健干预措施
背景情况:
- 越来越多地关注社会需求查和医疗保健干预.
- 目标:在医疗保健机构中为社会健康的实施提供信息.
- 在一个综合卫生系统内的两个初级保健诊所进行的研究.
研究的目的:
- 评估随着时间的推移社会需求的变化.
- 比较两个社会卫生支持计划:社区资源专家 (CRS) 和连接呼叫中心 (CCC).
- 评估初级保健中的社会卫生整合努力.
主要方法:
- 在535名报告社会需求的患者中进行了分层随机化.
- 分配到基于诊所的CRS或集中式CCC程序.
- 在2个月和5个月的随访中使用一般化的线性混合效应模型评估社会需求.
主要成果:
- 2个月或5个月后,CRS和CCC参与者之间的社会需求没有显著差异.
- 5个月后,CRS参与者表现出更多需求的趋势 (p > 0.05).
- 探索性分析表明,在CRS中收到推与较少的社会需求有关.
结论:
- 无论是CRS还是CCC项目,都没有显示出随着时间的推移减少社会需求的显著差异.
- 转向社会服务可能是减少社会需求的关键因素.
- 需要进一步的研究来优化社会卫生计划的有效性.
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