J Health Care Poor Underserved. 2020;31(2):603-622. doi: 10.1353/hpu.2020.0048.
There is limited evidence on how to implement social determinants of health (SDH) screenings.
To synthesize recent evidence investigating the implementation of SDH screening in primary care settings.
Electronic strategies were used to find articles published between September 2008 and 2018. Articles in the review (N = 15) varied in study design and methodologic rigor, complicating the analysis.
Many articles lacked specification on who administered the screening, where the screening was administered, and resource referral rates. The majority of the screenings were administered during the clinic visit by a medical provider. The four primary SDH domains assessed were income, housing stability, education, and employment status.
More specific implementation research is needed on the best way for providers to screen for SDH in addition to how screening practices influence resource referrals, resource utilization, and health improvements.
关于如何实施健康的社会决定因素（SDH）筛查，目前的证据有限。
综合最近关于在初级保健环境中实施 SDH 筛查的证据。
电子策略用于查找 2008 年 9 月至 2018 年期间发表的文章。综述中的文章（N=15）在研究设计和方法严谨性上存在差异，这使得分析变得复杂。
许多文章没有具体说明谁进行了筛查、在哪里进行了筛查以及资源转介率。大多数筛查是由医疗服务提供者在就诊期间进行的。评估的四个主要 SDH 领域是收入、住房稳定性、教育和就业状况。
除了筛查实践如何影响资源转介、资源利用和健康改善之外，还需要对提供者筛查 SDH 的最佳方法进行更具体的实施研究。
