From the Department of Family and Community Medicine, University of California, Davis, CA (NR); Family and Community Medicine, University of California, San Francisco, CA (LG).
J Am Board Fam Med. 2022 Mar-Apr;35(2):400-405. doi: 10.3122/jabfm.2022.02.210256.
To analyze transportation screening and assessment questions used in social risk screening tools to understand how these tools assess patients' mobility and transportation needs.
We conducted content analysis of transportation screening and assessment tools used in adult health care delivery settings.
We identified 23 unique social risk screening tools; 14 included at least 1 transportation question. Transportation screeners differed in terms of content domain, structure, and response options. Existing transportation screening and assessment tools do not uniformly or comprehensively assess transportation needs. Questions typically fail to surface relevant information on financial constraints, disability, local transportation options, and social isolation that should influence related interventions.
Development of a brief screening question that broadly captures transportation insecurity followed by a more comprehensive assessment triggered by positive response could enable policy makers and health systems to better identify individuals facing transportation insecurity and to develop transportation solutions that address patients' transportation needs.
分析社会风险筛查工具中使用的交通筛查和评估问题，以了解这些工具如何评估患者的流动性和交通需求。
我们对成人医疗保健环境中使用的交通筛查和评估工具进行了内容分析。
我们确定了 23 种独特的社会风险筛查工具；其中 14 种工具至少包含 1 个交通问题。交通筛查器在内容领域、结构和响应选项方面存在差异。现有的交通筛查和评估工具没有统一或全面地评估交通需求。问题通常无法了解到可能影响相关干预措施的经济限制、残疾、当地交通选择和社会孤立等相关信息。
开发一个简单的筛查问题，广泛涵盖交通不安全问题，然后根据阳性反应进行更全面的评估，这可以使政策制定者和卫生系统更好地识别面临交通不安全问题的个人，并制定解决患者交通需求的交通解决方案。
