使用因子分析来简化紧急部门的社会选
Melissa A Meeker1, Diana M Bongiorno1, Danielle Cullen2
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
概括
紧急部门对社会需求的查往往不完整. 一个新的,综合的问卷框架可以提高响应率和简化患者评估.
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
- 健康的社会决定因素
背景情况:
- 紧急服务部门 (ED) 面临着漫长的社会风险/需求查工具的挑战,导致不完整的患者调查.
- 精简这些查工具对于有效的临床实施至关重要.
研究的目的:
- 引导开发一个更有效的基于ED的社会风险/需求选器.
- 通过问卷的完整性和响应模式来分析患者群体.
- 评估年龄对社会风险/需求测量的影响.
主要方法:
- 对330,109名回答10项社会风险/需求问卷的患者进行了横截面研究 (2019年2月-2023年3月).
- 描述性分析通过响应率 (<60%对≥60%) 分层患者.
- 因子分析在更高响应群体中确定了社会风险/需求结构.
主要成果:
- 75%的患者完成了调查; 9%的患者反应率较低.
- 响应较低的组有更多的幼儿护理人员和商业保险患者.
- 因子分析确定了三个构造:核心资源,住房和工作能力.
- 关键指标包括支付公用事业费用,住房不稳定性和失业率.
结论:
- 在这个卫生系统中,不完整的社会风险/需求问卷是普遍存在的.
- 从数据中出现了一个三要素框架 (核心资源,住房,工作能力).
- 这一框架将为ED提供一个综合问卷,以提高响应率.
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