The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need.
The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need.
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DOI：
10.1002/emp2.12191
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发表时间：
2020-10
影响因子：
2.3
通讯作者：
Camargo CA Jr
中科院分区：
文献类型：
--
作者：
Samuels-Kalow ME;Ciccolo GE;Lin MP;Schoenfeld EM;Camargo CA Jr
急诊医学越来越多地关注急诊医学中的社会健康决定因素（SDoH）。然而，标准化和评估测量工具以及比较研究结果的努力受到术语过多（例如，SDoH，健康相关的社会需求，社会风险）以及缺乏定义共识的限制。具体而言，个人的社会风险可能与个人的社会需求不一致，这对政策，研究，风险分层和支付以及医疗保健质量的测量都有影响。随着社会急救医学（SEM）作为一个领域的兴起，需要一套简化和一致的定义。这些定义对于急诊科的临床医生筛查、卫生系统了解服务需求、流行病学跟踪以及研究数据共享和协调都很重要。在本文中，我们提出了一个考虑SDoH测量的概念模型，并提供了关键术语的清晰、可操作的定义，以提高临床医生、研究人员和政策制定者之间的一致性。
Emergency medicine has increasingly focused on addressing social determinants of health (SDoH) in emergency medicine. However, efforts to standardize and evaluate measurement tools and compare results across studies have been limited by the plethora of terms (eg, SDoH, health‐related social needs, social risk) and a lack of consensus regarding definitions. Specifically, the social risks of an individual may not align with the social needs of an individual, and this has ramifications for policy, research, risk stratification, and payment and for the measurement of health care quality. With the rise of social emergency medicine (SEM) as a field, there is a need for a simplified and consistent set of definitions. These definitions are important for clinicians screening in the emergency department, for health systems to understand service needs, for epidemiological tracking, and for research data sharing and harmonization. In this article, we propose a conceptual model for considering SDoH measurement and provide clear, actionable, definitions of key terms to increase consistency among clinicians, researchers, and policy makers.
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