From the Department of Family and Community Medicine, University of California, San Francisco (EMB, EDM, BA, LMG); Joint Medical Program, University of California, Berkeley (VL); Department of Emergency Medicine, University of California, San Francisco (MM).
J Am Board Fam Med. 2023 Feb 8;36(1):66-78. doi: 10.3122/jabfm.2022.220211R1.
Health care policy and practice-level enthusiasm around social screening has emerged in the absence of a clear appreciation for how patients feel about these activities. Yet patient and caregiver perspectives should be used to establish the rationale and inform the design and implementation of social screening initiatives.
We conducted a systematic scoping review to better understand patient and patient caregiver perspectives regarding multidomain social screening in US health care settings.
We identified 16 articles. Thirteen studies assessed the perspectives of patients; a partially overlapping 9 studies assessed the perspectives of adult patient caregivers. Most articles assessing the acceptability of social screening reported that patients and patient caregivers generally found it to be acceptable. Notably, there was some variation by screening approach and prior experiences in health care settings, as well as mixed findings by race/ethnicity and gender. Participants from several articles raised concerns regarding data documentation and sharing, highlighting the potential for social data to contribute to provider bias.
The themes emerging in this diverse set of largely descriptive studies warrant deeper and more rigorous exploration as social screening initiatives expand in health care settings across the United States.
尽管人们尚未充分认识到患者对这些活动的感受，但医疗政策和实践层面围绕社会筛查的积极性已经出现。然而，应该利用患者和照护者的观点来确定社会筛查举措的基本原理，并为其设计和实施提供信息。
我们进行了系统的范围界定审查，以更好地了解美国医疗保健环境中患者和患者照护者对多领域社会筛查的观点。
我们确定了 16 篇文章。13 项研究评估了患者的观点；9 项部分重叠的研究评估了成年患者照护者的观点。评估社会筛查可接受性的大多数文章报告称，患者和患者照护者普遍认为它是可以接受的。值得注意的是，筛查方法和之前在医疗保健环境中的经历存在一些差异，种族/民族和性别也存在混合发现。一些文章的参与者对数据记录和共享表示担忧，强调社会数据有可能导致提供者偏见。
这些多样化的描述性研究中出现的主题需要更深入和更严格的探索，因为社会筛查举措在美国各地的医疗保健环境中不断扩大。
