从查到转诊:将心脏移植患者与资源联系起来,以满足社会需求,尽管得到了足够的支持,但仍然具有挑战性
Leandra Bitterfeld1, Abigail F Fraley1, Andrea Smith2
1Intermountain Primary Children's Hospital, Intermountain Health, Salt Lake City, Utah, USA.
Pediatric transplantation
|October 8, 2025
概括
儿童心脏移植诊所对社会需求的查确定了许多需求,但面临的挑战是将家庭与资源联系起来. 面对面的支持在资源连接方面被证明比远程推更有效.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 儿童心脏病学 儿童心脏病学
- 健康的社会决定因素
背景情况:
- 社会需求查在医疗保健机构中越来越多地被采用.
- 儿科计划已经实施了社会需求选,但资源连接的有效性尚不清楚.
- 这一举措旨在普遍选社会需求,并将家庭推到社区资源.
研究的目的:
- 评估儿童心脏移植诊所的社会需求查和资源转诊的有效性.
- 识别连接家庭与积极社会需求屏幕到社区资源的障碍.
- 为了比较不同推途径对社会需求的有效性.
主要方法:
- 在小儿心脏移植诊所进行了社会需求查.
- 建立了两个转介途径:由社会工作者管理的高风险需求和转介到 Unite Us 的低风险需求.
- 测量的推结果是资源识别和连接,对每个途径的有效性进行了评估.
主要成果:
- 在接受查的86个家庭中,28个家庭中发现了66个社会需求.
- 几乎一半 (44.8%) 的需求没有确定社区资源,主要是由于无法获得.
- 家庭在所有确定的需求中获得了36.4%的资源,社会工作者途径显示出更高的有效性.
结论:
- 社会需求查揭示了儿科患者群体的重大需求.
- 资源转介的障碍包括缺乏可用的服务和当地后续行动不足.
- 面对面的支持和直接推途径比远程支持更有效地将家庭与资源联系起来.
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