将健康查和管理的社会驱动因素纳入产前护理:混合方法实施评估协议
Paige Anderson1, Vanessa Neustrom2, Samantha Hepting2
1Department of Obstetrics and Gynaecology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA Paige_Anderson@med.unc.edu.
BMJ open
|October 5, 2025
概括
这项研究评估了在产前护理中实施社会健康驱动因素 (SDOH) 查. 结果将指导诊所整合SDOH协议,以改善孕产妇和婴儿健康结果.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
背景情况:
- 健康的社会驱动因素 (SDOH) 显著影响医疗保健准入和围产期结果.
- 尽管有建议,但产前诊所在系统的SDOH查方面面临挑战.
- 这项研究解决了在产前护理中推和综合性SDOH查之间的差距.
研究的目的:
- 评估在产前护理中实施通用SDOH查和管理协议的实施情况.
- 确定有效的实施策略,将SDOH查整合到常规产前工作流程中.
- 为其他寻求采用通用SDOH查的产前护理诊所提供指南.
主要方法:
- 采用混合方法方法的多站点,前性形成性评估.
- 数据收集包括图表审查,员工调查和与员工和患者的半结构面试.
- 实施科学框架指导了对工作流集成和EMR优化等策略的评估.
主要成果:
- 该研究评估了关键的实施结果:可行性,可接受性,适当性,采用性,忠实性和可持续性.
- 分析重点是成功整合标准化SDOH查和管理协议.
- 关于实施战略有效性的具体结果将在即将出版的出版物中详细介绍.
结论:
- 系统的SDOH查和管理协议对于改善产前护理至关重要.
- 有效的实施策略对于成功将SDOH纳入临床实践至关重要.
- 这项研究为优化SDOH查在各种产前环境中提供了有价值的见解.
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