Department of Graphic, Experience, and Industrial Design, North Carolina State University, Raleigh, NC, USA.
Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2205282. doi: 10.1080/17482631.2023.2205282.
The screening process for social determinants of health (SDoH) includes questions regarding life circumstances and barriers to accessing health care. For patients, these questions may be intrusive, biased, and potentially risky. This article describes human-centered design methods to engage birthing parents and health care team members around SDoH screening and referral in maternity care.
Three phases of qualitative research with birthing parents, health care teams, and hospital administrators were conducted in the United States. Shadowing, interviews, focus groups, and participatory workshops addressed the explicit and tacit concerns of the stakeholders regarding SDoH during maternity care.
Birthing parents wanted to be informed of the purpose of the clinic collecting SDoH information and how this information is used. Health care teams want to feel they are providing reliable and quality resources to their patients. They would like greater transparency that administrators are acting on SDoH data and the information is reaching people that can assist patients.
As clinics implement patient-centered strategies for addressing SDoH in maternity care, it is important to include patients' perspectives. This human-centered design approach advances understanding of knowledge and emotional needs around SDoH and offers insights to meaningful engagement around sensitive health data.
社会决定因素健康（SDoH）的筛查过程包括有关生活环境和获得医疗保健障碍的问题。对于患者而言，这些问题可能具有侵扰性、偏见性且潜在风险较高。本文描述了以人为中心的设计方法，用于围绕产妇护理中的 SDoH 筛查和转介，让产妇及其医疗保健团队成员参与其中。
在美国进行了三个阶段的定性研究，对象是产妇、医疗保健团队和医院管理人员。通过观察、访谈、焦点小组和参与式研讨会，解决了利益相关者在产妇护理期间对 SDoH 的明确和隐含关注。
产妇希望被告知诊所收集 SDoH 信息的目的以及如何使用这些信息。医疗保健团队希望他们能够为患者提供可靠和高质量的资源。他们希望增加透明度，让管理员对 SDoH 数据采取行动，并且信息能够传递给可以帮助患者的人。
随着诊所实施以患者为中心的策略来解决产妇护理中的 SDoH 问题，了解患者的观点非常重要。这种以人为中心的设计方法推进了对 SDoH 相关知识和情感需求的理解，并为围绕敏感健康数据进行有意义的参与提供了见解。
