在住院儿童中解决与健康有关的社会需求:实施评估
Hemen Muleta1, Samantha Levano2, Jessica Haughton2
1Department of Pediatrics (H Muleta, S Levano, J Haughton, R Whiskey-LaLanne, M Lemberg, PA Hametz, ML Rinke, and KP Fiori) Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY.
Academic pediatrics
|September 24, 2025
概括
社区卫生工作者 (CHWs) 成功将住院家庭与社会服务联系起来,解决与健康相关的社会需求 (HRSNs). 这种干预措施有望改善儿科健康结果.
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
- 社区健康 社区健康
背景情况:
- 住院儿童经常遇到未满足的与健康有关的社会需求 (HRSNs).
- 社区卫生工作者 (CHW) 越来越多地融入医疗保健系统,以满足这些需求.
- 需要有效的干预措施来将家庭与基本的社会服务联系起来.
研究的目的:
- 评估一项住院诊断,转诊和CHW资源导航计划,用于未满足HRSN的家庭.
- 评估医院环境中CHW支持的有效性和实施情况.
主要方法:
- 一项回顾性研究分析了2023年12月至2024年11月期间住院家庭的数据.
- 患者在入院时被查HRSNs;报告未满足需求的患者被转介到CHW.
- 该RE-AIM框架指导了使用描述性统计和定期反思的评估.
主要成果:
- 超过61%的入院患者进行了查,其中30%报告未满足HRSNs.
- 其中,73.3%接受了CHW导航,98.6%与社会服务相连.
- 96.8%的连接患者报告了改善或解决的HRSN,估计每年每名CHW连接患者的费用为180.63美元.
结论:
- 住院HRSN查和CHW转诊计划有效地将家庭与所需的社会服务联系起来.
- 在住院家庭中,CHW导航导致自我报告的HRSN显著改善.
- 建议进行进一步的研究,以探索CHW干预措施对儿童健康和医疗保健利用的影响.
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