一个多维框架,用于绘制社会对电子健康记录的需求,用于多病症患者
Tassella Isaac1, Glenn Simpson1, Lucy Smith1
1Primary Care Research Centre, University of Southampton, Southampton, SO16 5ST, UK.
Scientific reports
|January 27, 2026
概括
许多患有多种长期疾病 (多重疾病) 的成年人面临着影响其健康的社会需求. 一个新的框架确定了八个关键的社会需求领域,揭示了社区和社会护理服务是最普遍的问题.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 老年学是一门学科.
背景情况:
- 社会需求,包括社会文化和经济因素,显著影响健康结果和生活质量.
- 多病症,定义为存在两个或两个以上的长期疾病 (LTCs),呈现出越来越多的公共卫生挑战.
- 社会需求往往会加剧与多病症相关的负面健康后果.
研究的目的:
- 引入一个新的多维框架来识别和描述社会需求.
- 分析英格兰一个大规模人口成年人群的社会需求,这些成年人群具有多种疾病.
- 提供一个系统的方法来量化社会需求,以告知临床护理和干预措施.
主要方法:
- 利用来自临床实践研究数据链接 (CPRD) 的数据用于基于人口的队列.
- 开发了一个多维框架,确定了八个关键的社会需求领域:日常生活活动,流动性,财务限制,残疾,社区护理,住房状况,社会支持和丧亲.
- 分析了100多个相关变量,在一个由7,290,716个多病症患者组成的队列中进行分析.
主要成果:
- 36.96%的多病症患者报告至少有一种社会需求.
- 大多数有社会需求的个人是年长的,女性,并且承受较高的LTC负担.
- 最普遍的社会需求与社区和社会护理服务有关.
结论:
- 社会需求和多病症之间存在显著的关联,在这个人群中观察到不成比例的负担.
- 开发的框架提供了一种系统的方法来衡量社会需求.
- 研究结果支持将社会需求评估纳入临床实践和多病症患者的干预策略.
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