改善与健康相关的社会需求 查和支持 在儿童医疗保健系统中
Rishi Laroia1, William Minor2, Ashley Carr3
1Pediatric Hospital Medicine, Department of Pediatrics, Levine Children's Hospital at Atrium Health, Charlotte, North Carolina; Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Pediatrics
|February 4, 2026
概括
在不同医院部门整合与健康相关的社会需求 (HRSN) 查和干预措施,改善了患者护理. 这一举措成功地将患者与资源联系起来,显示在重复查后,粮食不安全患病率下降.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 健康的社会决定因素
- 以患者为中心的护理
背景情况:
- 与健康相关的社会需求 (HRSN) 显著影响患者的治疗结果,医疗保健利用率和生活质量.
- 有效管理HRSN需要将查与及时干预相结合.
- 之前的努力强调了需要有系统的方法来解决临床环境中的HRSN.
研究的目的:
- 实施和评估一项多式联运倡议,将HRSN查和干预整合到多个住院和门诊部门.
- 评估标准化变革方案和集中资源库的可行性和有效性,以解决HRSN问题.
- 确定综合HRSN干预措施对已确定的需求 (如粮食不安全) 的流行程度的影响.
主要方法:
- 质量改进团队使用标准化的变化包来指导HRSN查和干预措施的整合.
- 该计划在城市四级儿科医院系统中的9个不同部门中实施.
- 绩效目标包括对80%的患者进行查,并确保对所有阳性查进行干预,利用中央资源银行.
主要成果:
- 在2021年1月至2023年10月期间进行了超过31,000次查,实现了92%的平均查性能.
- 阳性选器始终得到干预,在最后7个月内持续表现超过92%.
- 在17.6%的遭遇中发现了粮食不安全,干预后重复查后,患病率减少了56%.
结论:
- 一个集中的质量团队和标准化的变化包有效地促进了在不同临床环境中实施HRSN查和资源连接.
- 综合HRSN干预措施显示,随着时间的推移,有可能减少已识别的社会需求的流行.
- 定期重新查对于全面识别和解决家庭不断变化的HRSN至关重要.
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