以医院为基础的干预措施解决社会需求:系统叙事审查
Kate E Neadley1, Cheryl Shoubridge1, John W Lynch2
1School of Biomedicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
American journal of preventive medicine
|March 28, 2025
概括
医院正在使用查和转诊干预措施来满足社会需求. 然而,要了解这些程序是如何工作的,以及它们对患者结果的影响,需要对方法和结果进行更详细的报告.
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
- 医院管理局 医院管理局
背景情况:
- 全球的医疗保健系统正在实施查和转诊计划,以满足患者的社会需求.
- 干预措施的范围从"轻触"的资源列表到"高触"的健康导航器支持.
- 目前对这些医院干预措施的整合,工作流程和结果的理解是有限的.
研究的目的:
- 在医院环境中系统地审查社会需求查和转诊干预措施的整合.
- 探索与这些干预相关的工作流程,障碍和推动因素.
- 分析这些干预措施对医疗和社会结果的影响.
主要方法:
- 一个系统的叙事审查,采用叙事合成.
- 在主要的健康和社会科学数据库和灰色文献中进行的搜索.
- 数据收集和分析发生在2023年1月至2024年8月之间.
主要成果:
- 所有37项包括的研究都是在美国的各种医院环境中进行的.
- 研究质量中等;对查和转诊工作流程的方法数据有限.
- 高触摸干预经常报告不足的数据;健康导航员的角色不一致.
- 很少有研究报告了社会需求的结果,干预效应混合.
结论:
- 为未来的研究优先考虑详细的方法报告和深入的协议.
- 始终报告社会需求的结果,以评估对弱势群体的利益.
- 在收集和存储社会需求数据时应用创伤信息原则.
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