Division of Pediatric Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, 9 Main Suite 9NW45, Philadelphia, PA 19104, USA.
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati School of Medicine, 3333 Burnet Avenue, ML 2005, Cincinnati, OH 45229, USA.
Crit Care Clin. 2024 Oct;40(4):623-640. doi: 10.1016/j.ccc.2024.05.001. Epub 2024 Jun 12.
A growing body of literature has identified social determinants of health (SDoH) as potential contributors to health disparities in pediatric critical illness. Pediatric critical care providers should use validated screening tools to identify unmet social needs and ensure appropriate referral through multisector partnerships. Pediatric critical care researchers should consider factors outside of race and insurance status and explore the association between neighborhood-level factors and disparate health outcomes during critical illness. Measuring and addressing the SDoH at the individual and neighborhood level are important next steps in mitigating health disparities for critically ill pediatric patients.
越来越多的文献指出,健康的社会决定因素(SDoH)可能是导致儿科危重病患者健康差异的原因。儿科危重病护理提供者应使用经过验证的筛查工具来确定未满足的社会需求,并通过多部门合作确保进行适当转介。儿科危重病研究人员应考虑种族和保险状况以外的因素,并探讨在危重病期间邻里因素与不同健康结果之间的关联。在个体和邻里层面衡量和解决 SDoH 是减轻危重症儿科患者健康差异的重要下一步。