相关实验视频
Updated: Jan 13, 2026

10:32
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
19.0K
使用区域一级措施进行两阶段的与健康相关的社会需求查
Joshua R Vest1, Christopher A Harle, Justin Blackburn
1Indiana University Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd, Indianapolis, IN 46202.
The American journal of managed care
|January 9, 2026
概括
使用地理位置进行两阶段的与健康相关的社会需求 (HRSN) 查是不理想的. 这种方法虽然减少了个别查的患者数量,但未能确定有大量未满足需求的患者.
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 公平 卫生 公平
背景情况:
- 对与健康相关的社会需求 (HRSNs) 的查对于医疗保健组织来说至关重要,但资源密集.
- 目前的选方法在平衡综合评估与运营效率方面面临挑战.
- 在初级保健机构中,识别HRSN的重要性越来越大.
研究的目的:
- 评估两阶段HRSN查策略的表现.
- 评估使用地理数据 (居住在高贫困地区的邮政编码) 作为第一阶段选的实用性.
- 作为第二阶段,确定基于电子健康记录 (EHR) 的查问题的有效性.
主要方法:
- 印第安纳州和佛罗里达州的成年初级保健患者 (n=1351) 参加.
- 实施了两阶段的选过程: 1) 居住在高贫困邮政编码, 2) 基于EHR的HRSN选问题.
- 使用黄金标准问卷来验证HRSN的存在;性能指标包括灵敏度,特异性,PPV,NPV和AUC.
主要成果:
- 在粮食不安全方面 (80%) 观察到曲线下的最高面积 (AUC),主要是由于强大的EHR查性能.
- 其他HRSN的AUC值较低,原因是查问题敏感度低,区域级查性能差.
- 选的HRSN的正预测值 (PPV) 一般很高.
结论:
- 使用地理贫困水平的两阶段HRSN查方法对于全面的需求识别是不理想的.
- 虽然这种方法减少了需要个别查的患者数量,但它有可能错过大量未满足HRSNs的个体.
- 需要采用替代或改进的查策略,以提高识别率,而不会过度负担医疗服务.
相关概念视频
Levels of Health Promotion and Illness Prevention
14.2K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
14.2K
Community Based Intervention
269
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
269
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Models of Health Promotion and Illness Prevention II
2.0K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.0K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K

