没有响应与健康相关的社会需求 儿童初级保健中的查项目
Maya I Ragavan1, Kelsey Schweiberger1, Deepak Palakshappa2,3,4
1Division of General Academic Pediatrics; University of Pittsburgh and UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Pediatrics
|June 24, 2025
概括
儿科的与健康相关的社会需求 (HRSN) 查显示完成率很高,但公共保险和少数群体的非响应率更高. 量身定制的干预措施可以改善查可信度和家庭的资源连接.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 与健康相关的社会需求 (HRSN) 查是儿科护理的标准.
- 查旨在将家庭与基本资源联系起来.
- 拒绝或跳过查项目的高率可能会限制其影响.
研究的目的:
- 量化小儿初级保健中对HRSN查项目的不响应率.
- 为了确定与HRSN查无响应相关的患者特征.
主要方法:
- 来自54家儿科诊所的电子健康记录数据的横截面分析.
- 包括177,094名儿童的HRSN问卷答复 (2021-2024年).
- 非响应被定义为"拒绝"或跳过的项目;使用多层次物流回归分析.
主要成果:
- 对一个或多个HRSN项目的整体无反应率为9.6%.
- 公共保险儿童 (13.7%) 与商业保险儿童 (6.7%) 的非响应率较高.
- 与非西班牙裔白人儿童 (8.4%) 相比,非西班牙裔黑人 (11.8%),西班牙裔 (13.3%) 和其他少数群体 (17.0%) 的非响应率更高.
结论:
- 儿科HRSN查显示,整体完成率很高.
- 在社会人口统计学群体中,潜在的未满足需求更大,非响应率不成比例地高.
- 考虑到家庭和社区背景的适应性干预措施可能会提高查可信度和资源联系.
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