解决新生儿重症监护病房中社会决定因素的方法：一项混合方法研究。
Approaches to addressing social determinants of health in the NICU: a mixed methods study.
机构信息
Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Department of Pediatrics, UMass Memorial Healthcare, UMass Memorial Medical School, Worcester, MA, USA.
出版信息
J Perinatol. 2021 Aug;41(8):1983-1991. doi: 10.1038/s41372-020-00867-w. Epub 2020 Oct 30.
OBJECTIVE
Examine current approaches to addressing social determinants of health (SDOH) in the NICU and perceived appropriateness of a standardized screening and referral process.
STUDY DESIGN
We performed a mixed methods study in two Massachusetts safety-net NICUs. We examined rates that unmet basic needs were assessed and identified among 601 families. We conducted focus groups with NICU staff to understand current methods to assess unmet basic needs and perceived appropriateness of a standardized SDOH screening and referral process.
RESULT
Except employment (89%), other unmet basic needs were infrequently assessed (housing 38%, food/hunger 7%, childcare 3%, transportation 3%, utilities 0.2%). Staff believed: (1) processes to assess SDOH were not standardized and inconsistently performed/documented; (2) addressing SDOH was important; and (3) using a standardized screening and referral process would be feasible.
CONCLUSIONS
Current NICU assessment of SDOH is limited and use of a standardized screening and referral process could be useful.
目的
考察新生儿重症监护病房（NICU）中解决社会决定因素健康（SDOH）的当前方法，以及标准化筛查和转介流程的适当性。
研究设计
我们在马萨诸塞州的两家安全网 NICU 中进行了一项混合方法研究。我们检查了在 601 个家庭中评估和确定未满足的基本需求的比例。我们与 NICU 工作人员进行了焦点小组讨论，以了解评估未满足的基本需求的当前方法和对标准化 SDOH 筛查和转介流程的适当性的看法。
结果
除了就业（89%），其他未满足的基本需求很少被评估（住房 38%，食物/饥饿 7%，儿童保育 3%，交通 3%，水电费 0.2%）。工作人员认为：（1）评估 SDOH 的流程没有标准化，执行和记录也不一致；（2）解决 SDOH 很重要；（3）使用标准化的筛查和转介流程是可行的。
结论
目前 NICU 对 SDOH 的评估有限，使用标准化的筛查和转介流程可能会有所帮助。
Zotero 插件