Alberti Philip
AAMC.
EGEMS (Wash DC). 2015 Jan 21;2(4):1174. doi: 10.13063/2327-9214.1174. eCollection 2014.
Community health needs assessments (CHNA) are completed to meet varied regulatory and statutory requirements for local public health departments, tax-exempt 501(c)(3) hospitals, and Federally Qualified Health Centers. Although compliance is a motivating factor, these entities are committed to understanding the communities they serve and to developing strategies to address health needs and inequities in health and health care.
CHNAs have the potential to improve the health of communities and populations by giving crucial qualitative and quantitative context to hospital and patient data, thereby enhancing opportunities for health services and clinical outcomes researchers. Filling in these data gaps can help to improve population health by highlighting community-and social determinant-related dynamics relevant to the improved health of the community.
Successful models exist that that have used CHNAs and the resulting data to improve population health management and reduce inequities, as do health systems that have used the EHR and community-based performance measurement data to achieve population health goals.
社区健康需求评估(CHNA)的开展是为了满足地方公共卫生部门、免税的501(c)(3)医院以及联邦合格健康中心的各种监管和法定要求。尽管合规是一个推动因素,但这些实体致力于了解它们所服务的社区,并制定战略来解决健康需求以及健康和医疗保健方面的不平等问题。
CHNA有潜力通过为医院和患者数据提供关键的定性和定量背景来改善社区和人群的健康,从而增加健康服务和临床结果研究人员的机会。填补这些数据空白有助于通过突出与社区健康改善相关的社区和社会决定因素相关动态来改善人群健康。
用于人群健康的CHNA和电子健康记录系统(EHR):存在一些成功的模式,它们利用CHNA及由此产生的数据来改善人群健康管理并减少不平等现象,也有一些卫生系统利用电子健康记录系统和基于社区的绩效评估数据来实现人群健康目标。