紧急情况部综合社会风险查和资源转介计划
Kaytlena Stillman1, Alex Dahut1, Antonina Caudill1
1Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California.
The western journal of emergency medicine
|June 25, 2025
概括
紧急部门可以选社会风险. 一个查计划确定了社会隔离和抑郁症是常见的问题,为患者提供了有针对性的资源.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 紧急诊所 (ED) 是一个关键的接入点,用于识别和解决患者的社会风险.
- 目前缺乏在ED中进行社会风险查的标准化流程.
- 本研究探讨了在紧急情况下对社会风险评估采取系统方法的需要.
研究的目的:
- 描述城市学术ED中社会风险查和资源推计划的实施和发现.
- 评估全面查问卷在识别健康的社会决定因素方面的有效性.
- 分析人口统计学与社会风险负担的关联.
主要方法:
- 从2022年7月到2023年4月在一个单一的学术,城市ED中进行的前性队列研究.
- 经过培训的员工对符合条件的ED患者 (18岁以上,医疗状况稳定,能够同意) 进行了查,使用涵盖12个社会决定因素领域的19个问题调查.
- 通过在线平台或直接与社会工作者联系来促进资源推;使用单变量后勤回归分析数据.
主要成果:
- 在1677名符合条件的患者中,1473人 (87.8%) 同意接受查,1078人 (73.2%) 报告至少有一种社会风险.
- 最常见的风险是社会孤立 (39%) 和抑郁症 (23%).
- 对于中 (88.9-96.8%) 和高 (80.8-100%) 的社会风险类别,观察到资源提供的高成功率. 女性和黑人患者的多重社会风险的几率显著更高.
结论:
- 一个全面的社会风险查和推计划在一个大型的城市学术ED中成功实施.
- 调查结果突出了社会孤立和抑郁症的普遍性,为机构资源优先安排提供了信息.
- 开发的模型为其他机构提供了一个框架,以适应其社会风险管理策略.
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