确定在美国实施社会决定因素健康筛查、转介和随访的促进因素、障碍和策略：范围综述方案。
Identifying facilitators, barriers, and strategies to implement social determinants of health screening, referral, and follow-up in the US: a scoping review protocol.
机构信息
Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Weitzman Institute at Community Health Center, Inc., Middletown, CT, USA.
出版信息
JBI Evid Synth. 2022 Jun 1;20(6):1568-1577. doi: 10.11124/JBIES-21-00161.
OBJECTIVE
This review will assess the literature exploring facilitators, barriers, and strategies for the implementation of social determinants of health and social needs screening, referral to community resources, and follow-up in clinical settings and clinical training curricula in the United States.
INTRODUCTION
Social determinants of health and social needs are a central cause of health inequity and poor health outcomes in the United States. Existing research primarily focuses on theoretical implications of social determinants of health on health outcomes, with a growing secondary focus on the development of screening tools that identify patients' specific unmet social needs. However, summative research has not yet focused on the barriers, facilitators, and strategies relating to the implementation of social determinants of health and social need screenings into routine clinical care. This scoping review aims to examine literature on the implementation of social determinants of health and social needs screening in clinical settings and clinical training curricula while also identifying gaps that require further exploration.
INCLUSION CRITERIA
This review will include relevant studies examining the facilitators, barriers, and strategies for the implementation of social determinants of health and social needs screening, referral, and follow-up as they relate to human subjects. The literature must be in English from 2010 and focus on United States clinical health settings and curricula.
METHODS
We will search PubMed, CINAHL, and Embase databases for relevant articles. Two independent reviewers will screen abstracts for eligibility. Data will be extracted from eligible articles and results will be presented in narrative and tabular format in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.
目的
本综述旨在评估美国临床环境和临床培训课程中社会决定因素和社会需求筛查、转介到社区资源以及后续管理的实施的促进因素、障碍和策略的文献。
简介
社会决定因素和社会需求是美国健康不平等和健康结果不佳的主要原因。现有研究主要集中在社会决定因素对健康结果的理论意义上，越来越多的研究重点是开发识别患者特定未满足的社会需求的筛查工具。然而，总结性研究尚未关注将社会决定因素和社会需求筛查纳入常规临床护理的实施的障碍、促进因素和策略。本范围综述旨在研究临床环境和临床培训课程中社会决定因素和社会需求筛查的实施情况，并确定需要进一步探讨的差距。
纳入标准
本综述将包括检查社会决定因素和社会需求筛查、转介和后续管理的实施的促进因素、障碍和策略的相关研究，这些研究与人类受试者有关。文献必须是 2010 年以来的英文文献，且必须关注美国临床卫生环境和课程。
方法
我们将在 PubMed、CINAHL 和 Embase 数据库中搜索相关文章。两名独立的评审员将对摘要进行筛选，以确定其是否符合入选标准。将从合格的文章中提取数据，并以叙述和表格的形式呈现结果，符合系统评价和荟萃分析扩展的首选报告项目用于范围综述。
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