Collecting and Applying Data on Social Determinants of Health in Health Care Settings
Collecting and Applying Data on Social Determinants of Health in Health Care Settings
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DOI：
10.1001/jamainternmed.2013.560
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发表时间：
2013-06-10
影响因子：
39
通讯作者：
Adler, Nancy E.
中科院分区：
文献类型：
--
作者：
Gottlieb, Laura;Sandel, Megan;Adler, Nancy E.
尽管有强有力的证据将患者的社会环境与他们的健康联系在一起，但对于卫生保健从业者和机构来说，在临床环境中解决社会需求方面的指导很少。目前对社会决定因素的方法一般侧重于人口层面和政策干预；这些方法忽视了卫生保健中能够解决患者社会情况的个人和临床创新。本文提出了一个框架，说明如何在三个层次--患者、机构和更广泛的人群--解释卫生保健系统中的社会决定因素干预，并描述在这些层次收集数据和有针对性的干预措施的方法。
Despite strong evidence linking patients' social circumstances to their health, little guidance exists for health care practitioners and institutions on addressing social needs in clinical settings. Current approaches to social determinants generally focus on population-level and policy interventions; these overlook individual and clinical innovations within health care that can address patients' social circumstances. This article proposes a framework for how social determinants interventions in the health care system can be construed across 3 tiers-patient, institution, and broader population-and describes ways to collect data and target interventions at these levels.