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对杰斐逊健康相关社会需求选器的验证
Sara Beachy1,2, Kristin L Rising2,3,4, Richard W Hass4
1Department of Psychiatry, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States.
Frontiers in health services
|October 6, 2025
概括
杰斐逊健康相关社会需求 (HRSN) 选器已被验证用于医疗保健机构. 这种工具有效地识别了有社会需求的患者,有助于解决健康差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
- 公共卫生 公共卫生
背景情况:
- 对与健康相关的社会需求 (HRSN) 的查是国家优先事项.
- 现有的HRSN查工具缺乏可靠的统计验证.
- 杰斐逊HRSN选器是为了解决这个缺口而开发的.
研究的目的:
- 通过严格的统计分析验证杰斐逊HRSN选器.
- 评估查人员在住院和门诊机构的表现.
- 确定HRSN项目和人口统计数据是否可以识别具有高度社会脆弱性的个人.
主要方法:
- 对302,929名成年患者进行了回顾性横截面心理测量研究 (2023年3月至2024年5月).
- 使用物品响应理论和用于选器评估的双参数物流模型.
- 隐性类分析 (LCA) 用于识别具有较高社会脆弱性指数 (SVI) 的个人.
主要成果:
- 杰斐逊HRSN选器表现出强大的心理测量特性,具有项目斜率 (1.67-3.77) 和难度参数 (2.20-3.31).
- 阳性反应在八个HRSN域中从0.90%-5.90%不等.
- LCA表示,HRSN项目和人口统计数据有效地识别了具有更高HRSN和SVI的人.
结论:
- 杰斐逊HRSN选器是用于识别医疗保健机构患者的社会需求的经过验证的工具.
- 选人员,通过关于帮助愿望和紧急性的额外问题,可以指导资源分配.
- 这有助于减轻因未得到满足的社会需求而产生的健康差异.
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