Tebb Kathleen P, Pica Gingi, Twietmeyer Lauren, Diaz Angela, Brindis Claire D
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Benioff Children's Hospital and the Adolescent and Young Adult Health National Resource Center, University of California, San Francisco, California.
ICF International, New York, New York.
Health Equity. 2018 Nov 14;2(1):321-328. doi: 10.1089/heq.2018.0011. eCollection 2018.
Social determinants are the leading causes of health disparities. Yet health care systems have not systemically addressed social determinants of health as it pertains to adolescents and young adults (AYAs), among other populations in need. This study identified promising innovative programs across the United States. Thirteen representatives from 10 programs completed a 45-min telephone interview. Transcripts were reviewed and analyzed to identify cross-cutting themes. Strategies included increasing access to quality, comprehensive and confidential health services, addressing the holistic needs of AYAs, collaborations across the health care delivery systems and other community services, and leveraging technology. This study showcased innovative approaches to inform future efforts.
社会决定因素是健康差距的主要原因。然而，医疗保健系统尚未系统地解决与青少年和青年（AYAs）以及其他有需求的人群相关的健康社会决定因素。本研究确定了美国各地有前景的创新项目。来自10个项目的13名代表完成了一次45分钟的电话访谈。对访谈记录进行了审查和分析，以确定共同主题。策略包括增加获得优质、全面和保密的医疗服务的机会，满足青少年和青年的整体需求，跨医疗保健提供系统和其他社区服务开展合作，以及利用技术。本研究展示了创新方法，为未来的努力提供参考。
