Division of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Curr Opin Pediatr. 2013 Aug;25(4):447-53. doi: 10.1097/MOP.0b013e32836280ae.
To provide a framework for addressing the social determinants of health (SDH) in the adolescent medical home.
There has been recent recognition worldwide that SDH affect health throughout the life-course. Adolescents are a vulnerable population, with health behaviors, access, and outcomes shaped by social and environmental contexts. Medical homes have aimed to reduce the health inequities by facilitating connections with community resources. Interventions have been described in the literature for triaging social needs, connecting patients to resources, and utilizing multidisciplinary team members.
SDH should be incorporated into the routine adolescent healthcare. Screening tools and referral programs should be developed and evaluated in the adolescent population. Programs utilizing multidisciplinary team members would be effective in reaching adolescents and facilitating connections to resources.
为了解决青少年医疗之家的社会决定因素健康问题(SDH)提供一个框架。
最近,全世界都认识到 SDH 会影响整个生命周期的健康。青少年是一个弱势群体,其健康行为、可及性和结果受到社会和环境背景的影响。医疗之家的目标是通过促进与社区资源的联系来减少健康方面的不平等。文献中已经描述了干预措施,用于对社会需求进行分类、将患者与资源联系起来以及利用多学科团队成员。
SDH 应该纳入青少年常规医疗保健中。应该在青少年人群中开发和评估筛查工具和转介计划。利用多学科团队成员的项目将有效地接触到青少年并促进与资源的联系。