在成人初级保健中整合不良童年经历和社会风险查
India Gill1, Ariana Thompson-Lastad2, Denise Ruvalcaba2
1From the Social Interventions Research and Evaluation Network, University of California San Francisco, San Francisco, CA (IG, LMG, DHJ); Osher Center for Integrative Health, University of California San Francisco, San Francisco, CA (AT-L, DR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (LMG, DHJ, AT-L). india.gill@ucsf.edu.
Journal of the American Board of Family Medicine : JABFM
|April 4, 2025
概括
在加利福尼亚州的初级保健中,整合儿童不良事件 (ACE) 和社会风险 (SR) 的查面临实际障碍. 解决工作流程和劳动力问题是提供全人护理的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 初级保健 实施 科学 初级保健 实施 科学
背景情况:
- 加利福尼亚州鼓励初级保健机构对不良童年事件 (ACE) 和社会风险 (SR) 进行查.
- 社区卫生中心 (CHC) 是整合这些查的关键地点.
- 了解员工和患者的观点对于成功实施至关重要.
研究的目的:
- 探索在加利福尼亚 CHC 整合成人 ACE 和 SR 查的机会和障碍.
- 收集来自医疗保健工作人员和患者的见解.
- 为有效的查计划整合提供信息的策略.
主要方法:
- 质量研究涉及半结构面试与CHC工作人员和患者.
- 通过医疗补助申请和学习协作参与确定了加利福尼亚州12个CHC.
- 用于采访数据的快速定性数据分析方法.
主要成果:
- 39名临床工作人员和10名患者参加了会议.
- 综合ACE和SR查的概念认可率很高.
- 关键障碍包括不同查频率,工作流程,时间限制和劳动力短缺.
结论:
- 整合ACE和SR查提供了概念上的好处,但在初级保健中面临实际挑战.
- 在初级保健中长期存在的问题使这些查的整合变得复杂.
- 需要进行制度和结构上的转变,以克服障碍,提供全方位的个人护理.
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