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识别并应对健康的社会决定因素以改善以患者为中心的医疗服务。

Identifying and addressing social determinants of health to improve patient-centered care.

作者信息

Kalsi Neil, Gordon Denai, Geske Jenenne

机构信息

University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

J Clin Transl Sci. 2024 Apr 5;8(1):e73. doi: 10.1017/cts.2024.511. eCollection 2024.

DOI:10.1017/cts.2024.511
PMID:38690221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11058574/
Abstract

The purpose of this clinical improvement project was to instill a streamlined process of identifying social determinants of health (SDOH) in our clinic's diverse patient population and provide resources that address these barriers to health and well-being. At each clinic visit, patients self-identified SDOH through an easy-to-use Social Assessment Form. Using an online database, Community Relay (CR), providers had access to location-based community resources. In addition to accomplishing the above-mentioned goals, we were left with a more well-rounded understanding of our patients. Unique struggles were identified and barriers to care were revealed, allowing for more patient-centered medical care.

摘要

这个临床改进项目的目的是在我们诊所的多样化患者群体中灌输一个简化的流程,以识别健康的社会决定因素(SDOH),并提供解决这些健康和幸福障碍的资源。在每次诊所就诊时,患者通过一份易于使用的社会评估表自行识别SDOH。使用在线数据库“社区接力”(CR),医疗服务提供者可以获取基于位置的社区资源。除了实现上述目标外,我们对患者有了更全面的了解。识别出了独特的困难,揭示了护理障碍,从而实现了更以患者为中心的医疗护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3677/11058574/ea02afd62098/S2059866124005119_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3677/11058574/1948ddc07589/S2059866124005119_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3677/11058574/ea02afd62098/S2059866124005119_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3677/11058574/1948ddc07589/S2059866124005119_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3677/11058574/ea02afd62098/S2059866124005119_fig2.jpg

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本文引用的文献

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The Feasibility of Screening for Social Determinants of Health: Seven Lessons Learned.健康社会决定因素筛查的可行性:七条经验教训
Fam Pract Manag. 2019 Sep/Oct;26(5):13-19.
3
Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care.实施基于电子健康记录的筛查和转介系统,以解决初级保健中的健康社会决定因素。
眼科领域中解决健康的社会决定因素:回应:识别并解决健康的社会决定因素以改善以患者为中心的医疗服务——卡尔西N、戈登D、格斯克J
J Clin Transl Sci. 2024 Sep 20;8(1):e130. doi: 10.1017/cts.2024.596. eCollection 2024.
Med Care. 2019 Jun;57 Suppl 6 Suppl 2:S133-S139. doi: 10.1097/MLR.0000000000001029.