社区儿童机会指数和家庭级社会需求
Michael J Luke1,2,3,4,5, Chén C Kenyon1,2,3,4,5, Andrew F Beck6
1PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pediatrics
|April 15, 2025
概括
社区机会指数 (COI) 有助于识别与健康相关的社会需求 (HRSNs) 的家庭. 然而,COI是个别家庭需求的糟糕预测指标,这表明有针对性的查仍然是必要的.
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
- 健康 公平 卫生 公平
背景情况:
- 医院有义务对与健康有关的社会需求 (HRSNs) 进行查.
- 邻居指数,例如儿童机会指数 (COI),可以帮助识别有风险的家庭.
- 对于家庭级HRSN,社区级COI的预测准确性尚不清楚.
研究的目的:
- 评估社区级儿童机会指数 (COI) 与家庭级健康相关社会需求 (HRSN) 的流行之间的关联.
- 评估COI的实用性,作为识别需要HRSN查和支持的家庭的代理.
主要方法:
- 对1096名儿科医院患者的横截面研究.
- 结合标准化家庭级HRSN查数据与患者社区COI数据.
- 使用后勤回归来分析基于COI五分位数和计算预测值的HRSN几率.
主要成果:
- 较低的COI五分位数与报告家庭HRSN的几率显著增加有关 (OR 2.62).
- 对大多数HRSN来说,COI显示了较低的积极预测值 (3-31%),但具有较高的负预测值 (91-99%).
- 在COI层之间没有观察到资源连接率的显著差异.
结论:
- 虽然贫困社区的家庭报告了更多的HRSN,但COI是个别家庭查的不可靠代理.
- 卫生系统可以利用COI来优先考虑社区层面的查和为HRSNs分配资源.
- 家庭直接查对于准确识别和支持患有HRSN的家庭至关重要.
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