Screening for social determinants of health in clinical care: moving from the margins to the mainstream.
Screening for social determinants of health in clinical care: moving from the margins to the mainstream.
复制标题
DOI：
10.1186/s40985-018-0094-7
复制
发表时间：
2018
影响因子：
5.5
通讯作者：
Andermann A
中科院分区：
文献类型：
--
作者：
Andermann A
在临床实践中筛查健康的社会决定因素仍然是广泛争论的问题。范围审查用于（1）探索可用于识别社会风险的各种筛查工具，（2）检查筛查社会决定因素对健康和社会结果的影响，（3）确定促进常规临床护理中筛查的因素。在过去二十年中，开发了越来越多的筛查工具，以帮助一线卫生工作者询问临床护理中健康的社会决定因素。除了建议筛查特定社会风险领域的临床实践指南（例如，怀孕期间的暴力），也有越来越多的证据探索使用筛查或个案调查来确定社会风险的多个领域（例如，贫困、粮食不安全、暴力、失业和住房问题）。有越来越多的牵引力在医学领域内改善社会史的采取和整合更正式的筛选健康的社会决定因素在临床实践中。还有越来越多的高质量循证审查，确定了在个体患者层面以及更广泛的社区和结构层面有效促进健康公平的干预措施。
Screening for the social determinants of health in clinical practice is still widely debated. A scoping review was used to (1) explore the various screening tools that are available to identify social risk, (2) examine the impact that screening for social determinants has on health and social outcomes, and (3) identify factors that promote the uptake of screening in routine clinical care. Over the last two decades, a growing number of screening tools have been developed to help frontline health workers ask about the social determinants of health in clinical care. In addition to clinical practice guidelines that recommend screening for specific areas of social risk (e.g., violence in pregnancy), there is also a growing body of evidence exploring the use of screening or case finding for identifying multiple domains of social risk (e.g., poverty, food insecurity, violence, unemployment, and housing problems). There is increasing traction within the medical field for improving social history taking and integrating more formal screening for social determinants of health within clinical practice. There is also a growing number of high-quality evidence-based reviews that identify interventions that are effective in promoting health equity at the individual patient level, and at broader community and structural levels.