电子健康记录能告诉我们关于如何部署卫生专业人员以应对健康的社会决定因素的哪些信息。

What Do EHRs Tell Us about How We Deploy Health Professionals to Address the Social Determinants of Health.

作者信息

Richman Erica L, Lombardi Brianna M, de Saxe Zerden Lisa, Forte Alexandria B

机构信息

Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

Soc Work Public Health. 2022 Apr 3;37(3):287-296. doi: 10.1080/19371918.2021.2001406. Epub 2021 Dec 7.

Abstract

The objective of this study was to determine how well Electronic Health Record (EHR) documentation identifies which health professionals act to address patient social determinants of health (SDOH) and what interventions are documented. The Electronic Medical Record Search Engine was used to identify food and housing insecurity EHR notes. From the notes, researchers randomly sampled 60 from each SDOH category. Of 120 notes, which contained a reference to food or housing insecurity, 72% also contained information on an intervention taken. Interventions were documented by social workers 63% of the time, followed by dietitians and physicians. Addressing patient SDOH is a crucial part of comprehensive healthcare. Findings contribute to a broader conversation on the documentation and interventions in healthcare settings to address patients' SDOH. Findings support the critical importance of standardizing SDOH documentation in the EHR across more members of the health workforce to ensure patient needs are met.

摘要

本研究的目的是确定电子健康记录(EHR)文档在识别哪些卫生专业人员采取行动解决患者健康的社会决定因素(SDOH)以及记录了哪些干预措施方面的效果如何。使用电子病历搜索引擎来识别有关食品和住房不安全的EHR记录。研究人员从记录中,在每个SDOH类别中随机抽取了60份。在120份提及食品或住房不安全的记录中,72%还包含了所采取干预措施的信息。63%的干预措施记录是由社会工作者完成的,其次是营养师和医生。解决患者的SDOH是全面医疗保健的关键部分。研究结果有助于就医疗环境中解决患者SDOH的文档记录和干预措施展开更广泛的讨论。研究结果支持了在更多卫生工作人员中对EHR中的SDOH文档进行标准化的至关重要性,以确保满足患者需求。

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