Qualitative program evaluation of social determinants of health screening and referral program.
Qualitative program evaluation of social determinants of health screening and referral program.
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DOI：
10.1371/journal.pone.0242964
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Kim EJ
中科院分区：
文献类型：
--
作者：
Emengo VN;Williams MS;Odusanya R;Uwemedimo OT;Martinez J;Pekmezaris R;Kim EJ
虽然健康的社会决定因素（SDH）的筛查和转诊方案在临床环境中的整合已经迅速增长，SDH方案内的参与者的声音和经验还没有得到很好的理解，在方案评估。为了定性评估一个全面的SDH筛查和转诊计划的基础上，在学术初级保健设置，我们进行了定性分析的半结构化，焦点小组访谈7照顾者。我们进行了归纳编码代表新兴的想法，从每个转录使用焦点小组转录家庭谁参加了SDH筛选和转诊计划。创建了一个主题模型，描述照顾者的经验与筛查，摄入量和转诊阶段的计划。照顾者的满意度与结构和过程相关的组成部分的筛选，摄入量和转诊。他们表示更喜欢训练有素的患者导航员而不是医生进行筛查和摄入，因为他们被认为有时间优先考虑照顾者的社会需求。护理人员报告对法律的服务筛查、接收和转诊感到失望，理由是法律的资源团队没有及时联系，提供的法律的资源不成熟。总体而言，护理人员推荐该计划，理由是该计划提供了社会支持，鼓励表达的环境，解决自身健康需求的动力以及便利的位置。总体而言，照顾者会推荐该计划，因为他们感到社会支持。使用训练有素的患者导航员似乎有助于在诊所成功实施该计划，导航员可以为护理人员提供适当的时间和个人关注，他们需要完成调查，并讨论他们的需求。与会者强调，简化医疗法律的伙伴关系评估损害健康需求的转诊程序是一个需要改进的领域。
Although the integration of social determinants of health (SDH) screening and referral programs in clinical settings has rapidly grown, the voice and experience of participants within SDH programs has not been well understood in program evaluations. To qualitatively evaluate a comprehensive SDH screening and referral program based in an academic primary care setting, we conducted a qualitative analysis of a semi-structured, focus group interview of 7 caregivers. We performed inductive coding representing emerging ideas from each transcript using focus group transcripts from families who participated in the SDH screening and referral program. A thematic model was created describing caregivers’ experiences with respect to screening, intake, and referral phases of the program. Caregivers reported satisfaction with structural and process-related components of screening, intake, and referral. They expressed a preference for trained patient navigators over physicians for screening and intake for they were perceived to have time to prioritize caregivers’ social needs. Caregivers reported disappointment with legal services screening, intake, and referral, citing lack of timely contact from the legal resource team and prematurity of provided legal resources. Overall, caregivers recommend the program, citing that the program provided social support, an environment where expression is encouraged, motivation to address their own health needs, and a convenient location. Overall, caregivers would recommend the program because they feel socially supported. The use of trained patient navigators appears to be instrumental to the successful implementation of the program in clinics, for navigators can provide caregivers with the appropriate time and personal attention they need to complete the survey and discuss their needs. Streamlining the referral process for evaluation of health-harming needs by the medical legal partnership was highlighted as an area for improvement.
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影响因子：
3.5
作者：
Cutler, David M.;Lange, Fabian;Ruhm, Christopher J.
通讯作者：
Ruhm, Christopher J.
DOI：
10.1111/j.1749-6632.2009.05332.x
发表时间：
2010-01-01
期刊：
BIOLOGY OF DISADVANTAGE: SOCIOECONOMIC STATUS AND HEALTH
影响因子：
--
作者：
Matthews, Karen A.;Gallo, Linda C.;Taylor, Shelley E.
通讯作者：
Taylor, Shelley E.
影响因子：
1.4
作者：
Klein, Melissa D.;Beck, Andrew F.;Kahn, Robert S.
通讯作者：
Kahn, Robert S.
影响因子：
120.7
作者：
DONABEDIAN, A
通讯作者：
DONABEDIAN, A
DOI：
10.1007/s11524-016-0065-6
发表时间：
2016-08-01
影响因子：
6.6
作者：
Jaworsky, Denise;Gadermann, Anne;Palepu, Anita
通讯作者：
Palepu, Anita