Department of Family and Community Medicine and Social Interventions Research and Evaluation Network, Center for Health and Community, University of California San Francisco, San Francisco, CA, USA.
2-1-1 San Diego, San Diego, CA, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241286306. doi: 10.1177/21501319241286306.
INTRODUCTION/OBJECTIVES: Primary care organizations are increasingly collecting data on patients' social risks, bringing forth an unprecedented opportunity to present combined health and social data that clinical and social care providers could leverage to improve patient care and outcomes. Little is known, however, about how these data could be used and what combinations of specific data elements are most helpful. We explored how primary care staff who provide clinical or social care services view potential benefits of and use cases for combined patient-level clinical and social data.
We conducted qualitative interviews or focus groups with 39 social and clinical care providers representing 6 healthcare organizations in San Diego County, California. Interviews were transcribed and analyzed using a deductive thematic analysis approach.
Overall, both clinical and social care providers noted the value of access to both types of data. Participants highlighted 3 benefits from integrating social and clinical data. The data could: (1) offer providers a more holistic view of patients' circumstances; (2) strengthen their ability to tailor care to patients' medical and social conditions concurrently; and (3) enhance coordination across care team members. Interviewees cited specific examples of ways social and clinical data could be paired to improve care.
Social and clinical care providers alike envisioned multiple uses and benefits of accessing combined individual-level clinical and social data, highlighting the potential for practice and policy innovations to facilitate access and uptake of combined data. Future research should focus on ways to increase accessibility of cross-sector data and evaluate the impact of care informed by combined data on patient social and health outcomes.
介绍/目的：初级保健组织越来越多地收集患者社会风险数据，这为提供综合健康和社会数据提供了前所未有的机会，临床和社会护理提供者可以利用这些数据来改善患者的护理和结果。然而，人们对这些数据如何被使用以及哪些特定数据元素的组合最有帮助知之甚少。我们探讨了提供临床或社会护理服务的初级保健人员如何看待综合患者层面的临床和社会数据的潜在益处和用例。
我们对来自加利福尼亚州圣地亚哥县 6 家医疗保健组织的 39 名社会和临床护理提供者进行了定性访谈或焦点小组讨论。访谈记录进行了转录，并使用演绎主题分析方法进行了分析。
总体而言，临床和社会护理提供者都注意到了访问这两种类型数据的价值。参与者强调了整合社会和临床数据的 3 个好处。这些数据可以：（1）为提供者提供患者情况的更全面视图；（2）增强他们同时根据患者的医疗和社会状况调整护理的能力；（3）增强护理团队成员之间的协调。受访者列举了将社会和临床数据结合起来改善护理的具体示例。
社会和临床护理提供者都设想了访问综合个体层面临床和社会数据的多种用途和益处，这突显了促进综合数据的获取和使用的实践和政策创新的潜力。未来的研究应侧重于增加跨部门数据的可访问性，并评估通过综合数据提供的护理对患者社会和健康结果的影响。
