Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
J Gen Intern Med. 2021 May;36(5):1411-1414. doi: 10.1007/s11606-020-06433-6. Epub 2021 Jan 19.
Despite social care interventions gaining traction in the US healthcare sector in recent years, the scaling of healthcare practices to address social adversity and coordinate care across sectors has been modest. Against this backdrop, the coronavirus pandemic arrived, which re-emphasized the interdependence of the health and social care sectors and motivated health systems to scale tools for identifying and addressing social needs. A framework on integrating social care into health care delivery developed by the National Academies of Science, Engineering, and Medicine provides a useful organizing tool to understand the social care integration innovations spurred by COVID-19, including novel approaches to social risk screening and social care interventions. As the effects of the pandemic are likely to exacerbate socioeconomic barriers to health, it is an appropriate time to apply lessons learned during the recent months to re-evaluate efforts to strengthen, scale, and sustain the health care sector's social care activities.
尽管近年来社会关怀干预措施在美国医疗保健领域逐渐受到关注,但扩大医疗实践规模以解决社会逆境和协调跨部门护理的程度还比较有限。在此背景下,新冠疫情爆发了,这再次强调了卫生和社会保健部门的相互依存关系,并促使卫生系统扩大工具以识别和解决社会需求。美国国家科学院、工程院和医学院制定的将社会关怀纳入医疗保健服务提供的框架为理解新冠疫情所激发的社会关怀整合创新提供了一个有用的组织工具,包括社会风险筛查和社会关怀干预措施的新方法。由于疫情的影响可能会加剧健康方面的社会经济障碍,因此现在是时候利用最近几个月所学到的经验教训,重新评估加强、扩大和维持医疗保健部门社会关怀活动的努力了。