产科选作为社会护理的门户:社会需求,差异和促进公平发展的影响
Alicia L Salvatore1, Michelle Axe2, Matthew K Hoffman3
1Master of Social Work Program, College of Education and Human Development, University of Delaware; Institute for Research on Equity and Community Health (iREACH), ChristianaCare.
Delaware journal of public health
|January 15, 2026
概括
近一半的产科患者有未满足的社会需求,种族和保险差异很大. 将健康的社会决定因素 (SDOH) 查纳入产科选是可行的,并且对于解决不平等问题至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响母亲和婴儿的结果.
- 产科选为确定和解决患者的社会需求提供了关键的机会.
- 现有研究强调了基于社会经济因素和种族/种族的医疗保健获取和结果的差异.
研究的目的:
- 确定产科分拣患者中社会需求的流行和分布.
- 分析社会需求与患者特征之间的关联,包括种族/民族和保险状况.
- 确定将健康查的社会决定因素纳入德拉华州产科护理中的影响.
主要方法:
- 一项涉及克里斯蒂安纳医院产科分诊患者 (N=317) 的SDOH查的横截面研究.
- 管理了一个11项工具,评估了10个社会需求领域.
- 用年龄调整后勤回归来检查与种族/种族和保险状况 (医疗补助/自付) 的关联.
主要成果:
- 几乎一半 (46.1%) 的患者报告至少有一个社会需求,7.0%报告四个或更多.
- 财务压力,粮食不安全,住房和交通是人们普遍的未满足的需求.
- 黑人和西班牙裔/拉丁裔患者,以及那些有医疗补助或自付的患者,报告多种社会需求的几率明显更高.
结论:
- 产科 triage 患者经常遇到未满足的社会需求,与种族/种族和保险相关的显著不平等.
- 在产科诊断中对健康的社会决定因素进行查是可行的,并促进了与重要支持服务的连接.
- 整合SDOH查和上游政策变化可以帮助减少母亲和婴儿结果的差异,并促进生殖正义.
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