Nerlinger Abby L, Kopsombut Gift
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
Nemours Children's Hospital, Delaware, Wilmington, Delaware.
Curr Opin Pediatr. 2023 Feb 1;35(1):14-21. doi: 10.1097/MOP.0000000000001191. Epub 2022 Oct 27.
This article outlines updates in social determinants of health (SDOH) screening practices in pediatric healthcare and community settings. The transition to value-based care and the COVID-19 pandemic have both had significant impacts on screening practices, with implications for providers, communities, and policymakers.
The COVID-19 pandemic has exacerbated social needs for vulnerable patients and families, resulting in increased recognition by healthcare teams through screening. Policy frameworks like value-based care that aim to deliver whole-child care in the community are reorienting the logistics of screening, including screening in acute-care settings and community settings. Recent studies on family and provider perspectives should be integrated into screening practices.
Despite significant advances in and expansion of SDOH screening in the pediatric healthcare setting, there remain limitations and future research needs. More data is needed to evaluate social need screeners and interventions, and determine how healthcare systems, communities, and states can spread and scale such interventions based on outcomes and value measurements. Population-based social indices have the potential to augment individual patient screening, but this remains a future research need.
本文概述了儿科医疗保健和社区环境中健康的社会决定因素（SDOH）筛查实践的更新情况。向基于价值的医疗的转变以及新冠疫情都对筛查实践产生了重大影响，对医疗服务提供者、社区和政策制定者都有影响。
新冠疫情加剧了弱势患者和家庭的社会需求，导致医疗团队通过筛查提高了认识。旨在在社区提供全儿童医疗服务的基于价值的医疗等政策框架正在重新调整筛查的后勤工作，包括在急症护理环境和社区环境中进行筛查。近期关于家庭和医疗服务提供者观点的研究应纳入筛查实践。
尽管儿科医疗环境中SDOH筛查取得了重大进展并有所扩展，但仍存在局限性和未来研究需求。需要更多数据来评估社会需求筛查工具和干预措施，并确定医疗系统、社区和州如何根据结果和价值衡量来推广和扩大此类干预措施。基于人群的社会指标有可能增强个体患者筛查，但这仍是未来的研究需求。
