Health-Related Social Needs Screening Tool Among Patients Receiving Hemodialysis: Evaluation of Sensitivity and Specificity.
Health-Related Social Needs Screening Tool Among Patients Receiving Hemodialysis: Evaluation of Sensitivity and Specificity.
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DOI：
10.1016/j.xkme.2023.100702
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发表时间：
2023-09
期刊：
影响因子：
3.9
通讯作者：
Crews, Deidra C.
中科院分区：
文献类型：
--
作者：
Novick, Tessa K.;Osuna, Michelle;Crews, Deidra C.
越来越多的证据表明，与健康相关的社会需求在接受血液透析的患者中很突出，并导致结果的差异。1，2，3，4尽管如此，与健康有关的社会需求并未得到系统的确认。过多的健康相关的社会需求筛选问题尚未在接受血液透析的人群中进行评估，确定健康相关社会需求的最佳方法仍不清楚。医疗保险和医疗补助服务中心在负责的健康社区（AHC）健康相关的社会需求筛查工具中汇编了他们推荐的筛查问题。5，6我们评估了AHC工具住房7和食物8不安全问题在血液透析患者样本中的敏感性、特异性、阳性预测值和阴性预测值。我们筛选并采访了32名接受血液透析的成年人，了解他们与健康相关的社会需求。访谈于2022年4月至2022年7月在德克萨斯州奥斯汀的3家DaVita肾脏护理单位进行（表S1）。符合条件的参与者年龄≥ 18岁，接受中心内血液透析，并有医疗补助保险。参与者在血液透析期间完成了AHC筛查工具和访谈。AHC工具以英语或西班牙语使用，访谈根据参与者的偏好以英语或西班牙语进行。一名访谈者被确定为来自波多黎各的双语（白色/非洲-加勒比）、双语（西班牙语和英语）拉丁裔女性，另一名访谈者为白色（东欧）、讲英语的女性。该研究获得了德克萨斯大学奥斯汀分校机构审查委员会的批准（编号：EY 00001374）。
There is mounting evidence that health-related social needs are prominent among patients receiving hemodialysis and contribute to disparities in outcomes. 1, 2, 3, 4 Despite this, health-related social needs are not systematically identified. The plethora of health-related social needs screening questions available have not been evaluated among people receiving hemodialysis, and the optimal way to identify health-related social needs remains unclear. The Centers for Medicare & Medicaid Services compiled their recommended screening questions in the Accountable Health Communities (AHC) Health-Related Social Needs Screening Tool. 5, 6 We estimated the sensitivity, specificity, and positive and negative predictive values of the AHC tool housing 7 and food 8 insecurity questions among a sample of people treated with hemodialysis.We screened and interviewed 32 adults receiving hemodialysis about their health-related social needs. The interviews were conducted from April 2022 to July 2022 at 3 DaVita Kidney Care units in Austin, Texas (Table S1). Eligible participants were aged≥ 18 years, received in-center hemodialysis, and had Medicaid insurance. Participants completed the AHC screening tool and interview during a hemodialysis session. The AHC tool was administered in English or Spanish, and interviews were conducted in English or Spanish according to the preference of the participants. One interviewer identified as a biracial (White/Afro-Caribbean), bilingual (Spanish and English) Latina female from Puerto Rico, the other was a White (Eastern European), English-speaking female. The study was approved by the Institutional Review Board of the University of Texas, Austin (STUDY00001374).
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影响因子：
3.9
作者：
Novick TK;Kushel M;Crews D
通讯作者：
Crews D
影响因子：
5.7
作者：
Brown, LD;Cai, TT;DasGupta, A
通讯作者：
DasGupta, A
影响因子：
13.2
作者：
Banerjee, Tanushree;Crews, Deidra C.;Powe, Neil R.
通讯作者：
Powe, Neil R.
影响因子：
1.6
作者：
Crews, Deidra C.;Novick, Tessa K.
通讯作者：
Novick, Tessa K.
影响因子：
8
作者：
Hager, Erin R.;Quigg, Anna M.;Frank, Deborah A.
通讯作者：
Frank, Deborah A.