Implementing Community Resource Referral Technology: Facilitators And Barriers Described By Early Adopters
Implementing Community Resource Referral Technology: Facilitators And Barriers Described By Early Adopters
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DOI：
10.1377/hlthaff.2019.01588
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发表时间：
2020-04-01
期刊：
影响因子：
9.7
通讯作者：
Gottlieb, Laura M.
中科院分区：
文献类型：
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作者：
Cartier, Yuri;Fichtenberg, Caroline;Gottlieb, Laura M.
卫生保健组织越来越多地实施方案，以解决病人的社会条件。为了支持这些努力，出现了新的技术平台，以方便向社区社会服务组织转诊。为了了解这些平台的功能，并确定其早期采用者在医疗保健方面的经验教训，我们回顾了2018年市场上的九个平台，并采访了来自35个早期采用者医疗保健组织的代表。我们通过征求专家建议和网络搜索确定了关键线人。样本中的所有平台都提供了类似的核心功能：筛查社会风险、资源目录、转诊管理、护理协调、隐私保护、系统集成以及报告和分析。早期采用者报告了三个关键的实施挑战：与社区合作伙伴合作，管理内部变更流程，以及确保遵守隐私法规。我们的结论是，与社会服务合作伙伴的早期参与，支持直接和间接成本的融资模式，以及更有力的有效性证据，可以帮助推动平台的采用。
Health care organizations are increasingly implementing programs to address patients' social conditions. To support these efforts, new technology platforms have emerged to facilitate referrals to community social services organizations. To understand the functionalities of these platforms and identify the lessons learned by their early adopters in health care, we reviewed nine platforms that were on the market in 2018 and interviewed representatives from thirty-five early-adopter health care organizations. We identified key informants through solicited expert recommendations and web searches. With minor variations, all platforms in the sample provided similar core functionalities: screening for social risks, a resource directory, referral management, care coordination, privacy protection, systems integration, and reporting and analytics. Early adopters reported three key implementation challenges: engaging community partners, managing internal change processes, and ensuring compliance with privacy regulations. We conclude that early engagement with social services partners, funding models that support both direct and indirect costs, and stronger evidence of effectiveness together could help advance platform adoption.