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健康查工具的社会决定因素:系统审查和德尔菲研究
Emma Parry1, Ross Wilkie2, Kate Warren3
1Primary Care Centre Versus Arthritis,School of Medicine, Keele University, Staffordshire, UK e.parry@keele.ac.uk.
一个新的10项查工具有效地识别了英国初级保健中的健康社会决定因素 (SDOH). 这个工具有助于例行数据收集,以改善患者的治疗结果.
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
- 社会医学 社会医学
背景情况:
- 健康的社会决定因素 (SDOH) 在人口和个人层面上显著影响健康结果.
- 目前,在初级保健机构中缺乏SDOH数据的例行收集.
- 了解SDOH对于解决健康不平等至关重要.
研究的目的:
- 为健康的社会决定因素 (SDOH) 开发一个验证的查工具.
- 在英国背景下确定SDOH适合的查问题.
- 为了方便在初级保健中进行常规的SDOH数据收集.
主要方法:
- 对现有的SDOH查问题和工具进行了系统审查.
- 进行了三阶段的修改后的Delphi研究,该研究涉及SDOH的专家.
- 数据被主题分析,并通过诱导性内容分析来细化问题.
主要成果:
- 系统性审查包括了104项研究,主要在临床环境中确定了查实践.
- 德尔菲研究涉及7名参与者,并反复排名172个项目,降至56个.
- 优先考虑的问题是直接的,二进制的,具体的,当前的和健康影响的.
结论:
- 建立了SDOH查问题和工具的全面概述.
- 开发了英国初级保健中SDOH的10项查工具.
- 该工具适合常规使用,用于收集基本的SDOH信息.
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