So Jeannette P, Wiebe Kayla, Kelley Simon, Matava Clyde, Kirsch Roxanne
Peri-Operative Services, The Hospital for Sick Children, Toronto, Ontario, Canada.
Department of Bioethics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Paediatr Child Health. 2024 Dec 15;30(2):49-55. doi: 10.1093/pch/pxae093. eCollection 2025 May.
Groups that experience social inequities have poorer health outcomes; however, Canadian healthcare institutions do not routinely collect data to identify those with health inequities. This quality improvement initiative assessed response rates for different methods of sociodemographic data collection using a questionnaire developed to support the ethical prioritization of paediatric non-urgent surgery. Of the 329 families contacted, 85.4% (281/329) completed the questionnaire and of those, 79.7% (224/281) provided sociodemographic data. Surgeon asking in the clinic had the highest response rate (100.0%, 5/5), followed by phone calls from surgical booking administrators (81.6%, 93/114), and a research assistant asking in the clinic (81.0%, 34/42). Sociodemographic data collection is feasible in a Canadian paediatric hospital setting and response rates were higher when completed in person and by staff supporting the care of the patient. The next steps will be to incorporate patient social determinants of health data into decision-making for surgical prioritization.
经历社会不平等的群体健康状况较差;然而,加拿大的医疗机构通常不收集数据来识别那些存在健康不平等问题的人群。这项质量改进举措使用一份为支持儿科非紧急手术的伦理优先级排序而编制的问卷,评估了不同社会人口学数据收集方法的回复率。在联系的329个家庭中,85.4%(281/329)完成了问卷,其中79.7%(224/281)提供了社会人口学数据。外科医生在诊所询问的回复率最高(100.0%,5/5),其次是手术预约管理人员打电话询问(81.6%,93/114),以及研究助理在诊所询问(81.0%,34/42)。在加拿大儿科医院环境中收集社会人口学数据是可行的,当面完成且由支持患者护理的工作人员进行询问时回复率更高。下一步将是把患者健康的社会决定因素数据纳入手术优先级排序的决策中。