From the Kaiser Permanente Center for Health Research, Portland, OR (IG, AV, NB, RG, MPB).
J Am Board Fam Med. 2021 Sep-Oct;34(5):914-924. doi: 10.3122/jabfm.2021.05.210069.
This study evaluated how often patients who reported social risk factors requested assistance with these risks in an integrated health system.
We examined how self-reports of risk related to stated desire for help with that risk reported during social risk screenings at Kaiser Permanente Northwest (KPNW). We examined how patient characteristics were associated with desire for help with each social risk domain using logistic regression.
Approximately 24% (n = 7,807) of the 32,865 KPNW members aged ≥ 18 years who were screened between June 1, 2017, and December 31, 2019, reported at least 1 social risk. More than half of patients who reported a risk were risk/help concordant (i.e., they also wanted help with that risk). The highest concordance (81.7%) was observed among patients reporting medical financial hardship. Several demographic, health, and other factors were associated with concordance across domains.
Patients do not request assistance for all reported social needs. Our findings could help shape future work examining patients' reasons for not accepting assistance and developing interventions to help patients with high social risk more effectively.
本研究评估了在综合卫生系统中，报告社会风险因素的患者请求协助处理这些风险的频率。
我们考察了在 Kaiser Permanente Northwest（KPNW）进行社会风险筛查期间，自我报告的与所报告的对该风险的帮助意愿相关的风险与患者特征之间的关系，使用逻辑回归进行分析。
在 2017 年 6 月 1 日至 2019 年 12 月 31 日期间，接受筛查的 32865 名 KPNW 年龄≥18 岁的会员中，约有 24%（n=7807）报告了至少 1 项社会风险。报告风险的患者中，超过一半（即他们也希望处理该风险）与风险/帮助相符。在报告医疗财务困难的患者中，一致性最高（81.7%）。多个人口统计学、健康和其他因素与各领域的一致性相关。
患者并未请求处理所有报告的社会需求。我们的发现有助于塑造未来的工作，研究患者不接受协助的原因，并开发更有效地帮助高社会风险患者的干预措施。
