Beth Israel Deaconess Medical Center, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
AMIA Annu Symp Proc. 2022 Feb 21;2021:565-570. eCollection 2021.
This paper discusses a method to develop and validate telehealth surveys that include social determinants of health domains. We performed a scoping review of literature on measuring social determinants of health and extracted 50 social determinants of health domains. We evaluated 14 validated telehealth surveys for questions associated with social determinants of health. We categorized the questions from the validated telehealth surveys using our extracted social determinants of health. We found that current validated telehealth-specific surveys only cover 16 (32%) of social determinants of health domains, with the most commonly evaluated domains being "Medical Needs" and "Social Connections/Isolation". Telehealth services are a valuable modality to provide care to patients. Surveying patients is integral to performing quality improvement and improving patient outcomes. Social determinants of health are important factors in determining patient outcomes. We propose an approach to validating the missing domains and evaluating survey validity.
本文讨论了一种开发和验证包含健康社会决定因素领域的远程医疗调查的方法。我们对健康社会决定因素的测量文献进行了范围综述，提取了 50 个健康社会决定因素领域。我们评估了 14 项经过验证的远程医疗调查，以了解与健康社会决定因素相关的问题。我们使用提取的健康社会决定因素对来自经过验证的远程医疗调查的问题进行了分类。我们发现，目前经过验证的专门用于远程医疗的调查仅涵盖健康社会决定因素领域的 16 个（32%），评估最多的领域是“医疗需求”和“社会联系/隔离”。远程医疗服务是为患者提供护理的一种有价值的方式。调查患者是进行质量改进和改善患者预后的重要组成部分。健康社会决定因素是确定患者预后的重要因素。我们提出了一种验证缺失领域和评估调查有效性的方法。
