通过项目SEEK改进一般儿科的社会需求查.
Colby Feeney1,2, Bryan Monroe3, Chisom Agbim4
1Departments of Medicine and Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA colby.feeney@duke.edu.
BMJ open quality
|February 18, 2026
概括
改善儿童健康的社会决定因素 (SDoH) 查在一般儿科显著增加了未满足的社会需求的识别. 这项质量改进项目通过解决粮食不安全和其他障碍,提高了患者的护理水平.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 公共卫生 公共卫生
- 提高质量 提高科学 提高质量
背景情况:
- 儿科患者未满足的社会需求会对健康结果产生负面影响,并增加医疗保健利用率.
- 对健康的社会决定因素 (SDoH) 的有效查对于识别和解决儿童这些需求至关重要.
- 当前的选过程往往缺乏家庭的接受和全面的领域覆盖.
研究的目的:
- 为了提高儿童患者的未满足的社会需求的识别入院一般儿科.
- 开发一个家庭可以接受的健康社会决定因素 (SDoH) 查过程.
- 在四个关键领域 (粮食不安全,交通,住房,财务压力) 提高已记录的SDoH查率,从0%提高到60%.
主要方法:
- 从2021年9月到2024年9月进行了一项多学科质量改进项目.
- 干预措施包括护理教育,反,提供餐盘,以及查问卷的EHR整合.
- 一个试点小组 (n=22) 评估了与患者和家人进行查过程的可接受性.
主要成果:
- 一个由患者和家属组成的试点小组发现查是可以接受的.
- 在4229名符合条件的患者中,记录的SDoH查率从0%增加到56.7%.
- 对粮食不安全的查显示,在所有四个领域中,与SDoH查有积极的相关性.
结论:
- 实施的SDoH查过程对儿科患者和家属来说是可以接受的.
- 这项质量改进计划成功提高了SDoH查和未满足需求的识别率.
- 提供有形资源,如餐盘,是支持家庭和减少查人员困境的宝贵组成部分.
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