Screening for Social Determinants of Health in Michigan Health Centers
Screening for Social Determinants of Health in Michigan Health Centers
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DOI：
10.3122/jabfm.2017.04.170079
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发表时间：
2017-07-01
影响因子：
2.9
通讯作者：
Tipirneni, Renuka
中科院分区：
文献类型：
--
作者：
Byhoff, Elena;Cohen, Alicia J.;Tipirneni, Renuka
目的：通过与全州健康中心（HC）在密歇根州的财团学术社区的合作伙伴关系，我们的特点是目前的范围筛选健康的社会决定因素（SDH）。方法：我们要求的表格的副本，用于筛选SDH在密歇根州的39 HC组织。使用内容分析，我们研究了筛选域和过程的变化。我们目前的描述性分析HC的特点和患者demographics.Results：我们收到的筛选文件，从23的39 HC（59%），代表167个交付站点。我们发现了广泛的经验共识，关于一组核心的13个SDH筛查领域，符合国家推荐的筛查指南。两个额外的领域，文化和功能状态，筛选的HC < 40%。虽然患者自我报告是最常见的模式SDH筛查（41%），许多HC使用工作人员管理的筛选documents.Conclusions：HC在一个大的和不同的状态筛选SDH，并在很大程度上同意核心SDH筛选域。使用来自一线供应商的现有经验数据可以为SDH筛查提供潜在的最佳实践。
Objective: Through an academic-community partnership with a statewide consortium of health centers (HCs) in Michigan, we characterize the current scope of screening for social determinants of health (SDH).Methods: We requested copies of forms used to screen for SDH at the 39 HC organizations in Michigan. Using content analysis, we examined variation in screening domains and processes. We present descriptive analyses of HC characteristics and patient demographics.Results: We received screening documentation from 23 of the 39 HCs (59%), representing 167 delivery sites. We found broad empiric consensus regarding a core set of 13 SDH screening domains that align with nationally recommended screening guidelines. Two additional domains, Culture and Functional Status, were screened for by < 40% of HCs. While patient self-report is the most frequent mode of SDH screening (41%), many HCs use staff members to administer the screening documents.Conclusions: HCs across a large and diverse state are screening for SDH and largely agree on core SDH screening domains. Using existing empiric data from frontline providers can inform potential best practices in SDH screening.