一种基于合作伙伴的方法来优先考虑学习健康系统中研究的社会风险
Mayuree Rao1,2, Cindie Slightam3, Alicia J Cohen4,5,6
1Seattle-Denver Center of Innovation for Veteran-Centered and Value Driven Care VA Puget Sound Health Care System Seattle Washington USA.
Learning health systems
|October 31, 2025
概括
研究人员为全国退伍军人事务调查优先考虑了影响健康的社会风险. 根据专家和退伍军人的意见,选择了18个主要的社会风险,包括财务压力和住房不安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 社会风险显著影响患者的健康结果和医疗保健经验.
- 优先考虑社会风险对于有效的医疗干预和卫生系统内资源分配至关重要.
- 退伍军人事务 (VA) 医疗保健系统试图将社会风险查纳入其全国患者调查.
研究的目的:
- 确定和优先考虑社会风险,并将其纳入退伍军人事务 (VA) 医疗保健系统患者的全国调查.
- 为开发一种全面的工具提供信息,用于评估退伍军人人口中健康的社会决定因素.
主要方法:
- 采用了多阶段的方法,包括文献审查,现有工具分析和专家共识建设.
- 从国家咨询小组 (n=15) 收集了包括健康影响,患者体验和可操作性在内的标准的定量评级.
- 从咨询小组和退伍军人 (n=29) 通过讨论和调查预测收集了定性反.
主要成果:
- 一个最初的37个社会风险清单被改进为18个国家调查.
- 选择的社会风险包括财务压力,住房和粮食不安全,医疗保健,交通,数字素养,社会支持和歧视.
- 其他包含的风险包括照顾者的责任,人际暴力,教育,就业,健康素养,法律问题,种族/种族,性别认同和性取向.
结论:
- 一种基于合作和合作伙伴的方法有效地优先考虑了国家健康调查的社会风险.
- 这种方法为其他学习健康系统提供了一个可扩展的模型,以识别和解决健康的社会决定因素.
- 选择的社会风险为VA医疗保健系统的证据生成和有针对性的干预提供了基础.
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