Screening for Health-Related Social Needs of Emergency Department Patients.
Screening for Health-Related Social Needs of Emergency Department Patients.
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DOI：
10.1016/j.annemergmed.2020.08.010
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发表时间：
2021-01
影响因子：
6.2
通讯作者：
Camargo CA Jr
中科院分区：
文献类型：
--
作者：
Samuels-Kalow ME;Boggs KM;Cash RE;Herrington R;Mick NW;Rutman MS;Venkatesh AK;Zabbo CP;Sullivan AF;Hasegawa K;Zachrison KS;Camargo CA Jr
人们越来越重视与健康有关的社会需求筛查（HRSN）。然而，人们对急诊科（艾德）的筛查实践知之甚少。在新英格兰，我们试图确定流行的ED筛查HRSN，了解与筛查相关的因素，以及HRSN的筛查模式如何不同于暴力，物质使用和心理健康需求。我们分析了2018年国家急诊室库存（NEDI）-新英格兰调查的数据，该调查在2019年期间对所有194名新英格兰急诊室进行了调查。我们使用描述性统计来比较艾德的特征，通过筛选的做法，和多变量逻辑回归模型，以确定与筛选相关的因素。在166名（86%）回应的ED中，64名（39%）报告了至少一项HRSN筛查，160名（96%）报告了暴力（包括亲密伴侣暴力或其他暴力暴露）筛查，148名（89%）报告了物质使用障碍筛查，159名（96%）报告了心理健康需求筛查。ED报告了广泛的社会工作（SW）资源，以满足确定的需求，155（93%）报告任何社会工作可用性，41（27%）报告24/7可用性。新英格兰急诊室对HRSN的筛查率明显低于对暴力、物质使用和心理健康需求的筛查率。执行主任可用于处理HRSN的资源相对有限。我们鼓励未来研究开发可扩展的解决方案，以识别和解决ED中的HRSN。
There has been increasing attention to screening for health-related social needs (HRSN). However, little is known about the screening practices of emergency departments (ED). Within New England, we sought to identify the prevalence of EDs screening for HRSN, understand the factors associated with screening, and how screening patterns for HRSN differ from those for violence, substance use and mental health needs. We analyzed data from the 2018 National Emergency Department Inventory (NEDI)-New England survey, a survey administered to all 194 New England EDs during 2019. We used descriptive statistics to compare ED characteristics by screening practices, and multivariable logistic regression models to identify factors associated with screening. Among the 166 (86%) responding EDs, 64 (39%) reported screening for at least one HRSN, 160 (96%) for violence (including intimate partner violence or other violent exposures), 148 (89%) for substance use disorder and 159 (96%) for mental health needs. EDs reported a wide range of social work (SW) resources to address identified needs, with 155 (93%) reporting any social work availability and 41 (27%) reporting 24/7 availability. New England EDs are screening for HRSN at a markedly lower rate than for violence, substance use, and mental health needs. EDs have relatively limited resources available to address HRSN. We encourage future research on the development of scalable solutions for identifying and addressing HRSN in the ED.
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DOI：
10.5811/westjem.2020.5.46536
发表时间：
2020-08-20
期刊：
The western journal of emergency medicine
影响因子：
--
作者：
Ciccolo G;Curt A;Camargo CA Jr;Samuels-Kalow M
通讯作者：
Samuels-Kalow M
影响因子：
9.7
作者：
Cantor, Michael N.;Thorpe, Lorna
通讯作者：
Thorpe, Lorna
影响因子：
5.4
作者：
Berkowitz, Seth A.;Hulberg, A. Catherine;Atlas, Steven J.
通讯作者：
Atlas, Steven J.
影响因子：
5.5
作者：
De Marchis, Emilia H.;Hessler, Danielle;Gottlieb, Laura M.
通讯作者：
Gottlieb, Laura M.
影响因子：
3
作者：
Basu S;Berkowitz SA;Seligman H
通讯作者：
Seligman H