利用电子健康记录识别和解决健康的社会决定因素。
Identifying and Addressing Social Determinants of Health with an Electronic Health Record.
作者信息
Ajibola Oluwatomi, Tabchi Rehab, Hepworth Karen, Walty Alycia, Niyibizi Auguste
机构信息
From the St Luke's Family Medicine Residency (OA, AN); Sacred Heart Campus; Star Community Health (RT, KH, AW).
出版信息
J Am Board Fam Med. 2025 May 12;38(1):9-14. doi: 10.3122/jabfm.2024.240167R1.
OBJECTIVE
The benefits of Social Determinants of Health (SDoH) is well documented but several studies highlight the complexity of collecting and standardizing SDoH data in a way that makes it relevant to the standard clinical interaction. The purpose of this study is to examine how leveraging an Electronic Health Record (EHR) system can facilitate SDoH screening and its integration into Primary Care encounters, while also using the data collected to meet the identified needs.
METHODS
This is an observational study design. EHR and SDoH screening data from 2020 to 2023 at 3 primary care sites were gathered. The study was implemented in 3 phases to streamline and establish the screening and referral processes.
RESULTS
SDoH screening increased by 95% from 2020 to 2022 with a consequent increase in social work referrals and the allocation of resources to a targeted patient population.
CONCLUSION
Identifying SDoH unique to a community or population can be strategically used to deliver relevant and timely services to patients. This fosters a multidisciplinary, collaborative and integrated approach to patient care.
目的
健康的社会决定因素（SDoH）的益处已有充分记录，但多项研究强调了以一种与标准临床互动相关的方式收集和规范SDoH数据的复杂性。本研究的目的是探讨利用电子健康记录（EHR）系统如何促进SDoH筛查及其融入初级保健诊疗过程，同时利用所收集的数据满足已确定的需求。
方法
这是一项观察性研究设计。收集了2020年至2023年3个初级保健机构的电子健康记录和SDoH筛查数据。该研究分3个阶段实施，以简化并确立筛查和转诊流程。
结果
从2020年到2022年，SDoH筛查增加了95%，随之社会工作转诊以及针对特定患者群体的资源分配也有所增加。
结论
识别社区或人群特有的SDoH可被战略性地用于为患者提供相关且及时的服务。这促进了一种多学科、协作和综合的患者护理方法。
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