从查到支持:探索患者参与与健康相关的社会需求服务
Brenda L Luther1, Sara G Bybee1, Catherine E Elmore1
1College of Nursing, The University of Utah, Salt Lake City, Utah.
AJPM focus
|June 12, 2025
概括
患者重视社会需求查,但有效的支持是关键. 通过查解决健康的社会决定因素可以改善患者关系和健康公平,尽管存在障碍.
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:
- 卫生公平需要解决健康的社会决定因素 (SDOH).
- 基于价值的支付模式鼓励解决患者与健康相关的社会需求 (HRSN).
- 建议将社会需求查整合到临床护理中,以将患者与资源联系起来.
研究的目的:
- 探索患者的经验和完成社会需求查的动机.
- 了解患者与社区服务导航员的接触.
- 为有效的卫生系统策略提供信息,以解决社会需求和增强人口健康.
主要方法:
- 在高等学术医疗保健系统中的定性描述性研究.
- 涉及63名英语和西班牙语患者,他们对社会需求的查结果呈阳性.
- 通过使用NVIVO进行电话采访和分析数据以进行主题识别.
主要成果:
- 查促进了积极的患者-提供者关系和支持的感觉.
- 患者报告说,在资源上感到惊和缓解,但有些人感到不舒服或怀疑.
- 障碍包括资格不合格,技术问题和情绪负担,导致挫折.
结论:
- 有效的查和转诊流程增强了患者关系,并满足了社会需求.
- 选方式和导航支持对于成功至关重要.
- 改进的支持系统对于克服障碍和确保获得健康公平服务至关重要.
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