在社区医院环境中对社会风险进行查和转诊的可行性,可接受性和适当性
Jana C Leary1, Hannah Bagley2, Frank P Giacchetto3
1Division of General Pediatrics (JC Leary and CP Landrigan), Boston Children's Hospital, Boston, Mass.
Academic pediatrics
|June 9, 2025
概括
一个新的儿科住院社会护理系统在社区医院成功实施,证明可行,可接受和适当. 确定了未来社会护理系统战略的关键挑战和改进.
科学领域:
- 医疗保健管理的管理
- 儿科卫生服务 儿科卫生服务
- 健康的社会决定因素
背景情况:
- 医院越来越多地采用住院社会护理系统,这是美国儿科学会和医疗保险和医疗补助服务中心的建议所推动的.
- 大多数关于儿科住院社会护理的现有研究仅限于儿童医院,在了解社区环境中的实施方面存在差距.
研究的目的:
- 评估在大学附属社区医院实施的儿科住院社会风险查和转诊系统的可行性,可接受性和适当性.
- 确定社区医院设置的实施挑战和改进领域.
主要方法:
- 从2023年3月到12月,采用了并发的混合方法方法.
- 使用验证的利克特尺度的调查评估了家长和临床医生的实施结果 (可行性,可接受性,适当性).
- 与家长和临床医生进行半结构面试,以探索他们的经验,随后进行主题分析.
主要成果:
- 报告中对可行性 (95%的家长,97%的临床医生),可接受性 (97%的家长,93%的临床医生) 和适当性 (95%的家长,97%的临床医生) 的评分很高.
- 关键主题包括社区/医院资源的支持作用,社会服务人员的局限性,对家庭的感知价值和积极健康影响以及工作流集成.
- 需要改进的领域包括管理预期和探索替代服务交付方式和时间.
结论:
- 在社区医院环境中,实施儿科住院社会护理系统是可行的,可以接受的和适当的.
- 确定了挑战和需要改进的领域,为改进未来在类似环境中的社会护理实施策略提供了有价值的见解.
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