Informatics Resources for Social Determinants of Health in School-Based Health Centers

项目总结 健康的社会决定因素(SDoH)与不良的健康结果和健康差距有关。这个 美国国家科学院、工程院和医学研究院的未来护理报告鼓励临床医生 为了解决SDoH，这是人们生活、学习、工作、娱乐和崇拜的环境条件， 这可能会影响健康、功能和生活质量。虽然有大量的知识语料库与 对于患有儿童哮喘的SDoH，学校卫生中心(SBHC)的SDoH筛查存在差距。 儿童保健院照顾学龄前至18岁的儿童，与学校护士合作 增进所有青年的健康和福祉。尽管SBHC可以获得个人层面的健康 关于孩子的信息，SBHC提供商不能在 社区和社区层面。系统筛查儿科家庭SDoH可促进 与相关资源的连接。然而，关于SDoH筛查和 SBHC在儿童SDoH干预中的作用该项目的重点是确定 SBHC中SDoH信息收集行为的促进者和障碍。通过探索性的顺序 设计，该项目将包括开发一个信息学资源，向 SBHC提供商。哮喘将作为这项新工作的第一临床条件。调查人员将 解决三个具体目标：目标1.描述SDoH和哮喘的信息收集行为 由校本保健提供者(即执业护士、医生、医生助理)为 预防性哮喘护理，以及在信息收集方面存在哪些障碍。目标2.制定和评估 提供与预防性管理相关的可操作SDoH信息的信息学资源 哮喘。目标3：评估在校本中建立包含SDoH的信息资源的可行性 在哮喘的预防性管理中使用的卫生提供者。PI将接受研究培训 通过范德比尔特大学丰富的科学环境。培训目标将侧重于获取 生物医学信息学、研究方法、定性焦点小组、SDoH和 负责任的研究行为。经验丰富的导师团队将提供支持，使 在以学校为基础的健康中SDoH为重点的研究计划中，朝着独立方向继续取得进展 中心，该项目是其中的一个关键组成部分。在成功完成拟议的研究后， 预计投稿将用支持筛查SDoH的证据来填补关键的知识空白 以学校为基础的保健提供者。这些贡献将是重要的，因为他们预计将提供 实施SDoH，预防哮喘恶化，满足改善生活的社会需求的方法 学龄儿童。拟议的研究通过调查支持NINR的使命，这两个问题都涉及 SDoH和Health Equity研究镜片在校本卫生中心的独特设置。

PROJECT SUMMARY Social determinants of health (SDoH) are associated with poor health outcomes and health disparities. The National Academies of Sciences, Engineering, and Medicine’s Future of Nursing Report encourages clinicians to address SDoH, which are the environmental conditions in which people live, learn, work, play, and worship, that can affect health, functioning, and quality-of-life. While there is a large corpus of knowledge associating SDoH with childhood asthma, a gap exists on screening of SDoH in school-based health centers (SBHCs). SBHCs care for children pre-kindergarten to 18 years of age, working collaboratively with the school nurse to advance the health and well-being of all youth. Although SBHCs have access to individual-level health information about the child, SBHC providers do not have easy access to SDoH information at the neighborhood and community level. Screening pediatric families for SDoH in a systematic way can facilitate connection to pertinent resources. However, there is a dearth of information regarding SDoH screening and the role of SBHCs in pediatric SDoH interventions. This project focuses on the critical need to identify the facilitators and barriers of SDoH information gathering behaviors in SBHCs. Through an exploratory sequential design, the project will include the development of an informatics resource providing SDoH information to SBHC providers. Asthma will serve as the first clinical condition for this novel work. The investigators will address three specific aims: Aim 1. Describe the information gathering behaviors for SDoH and asthma performed by school-based health providers (i.e., nurse practitioners, physicians, physician assistants) for preventative asthma care, and what barriers exist for information gathering. Aim 2. Develop and evaluate an informatics resource that provides actionable SDoH information related to the preventative management of asthma. Aim 3: Evaluate the feasibility of an informatics resource comprising SDoH among school-based health providers for use in the preventative management of asthma. The PI will receive research training through the rich scientific environment of Vanderbilt University. Training goals will focus on acquiring knowledge and skills in biomedical informatics, research methodology, qualitative focus groups, SDoH, and responsible conduct of research. The highly experienced mentorship team will provide support to make continued progress toward independence in a program of research focused on SDoH in school-based health centers, of which this project is a key component. Upon successful completion of the proposed study, contributions are expected to fill a critical knowledge gap with evidence that supports screening for SDoH by school-based health providers. These contributions will be significant because they are expected to provide a way to operationalize SDoH, to prevent asthma exacerbations, and address social needs to improve the lives of school-age children. The proposed study supports the mission of NINR through inquiry that addresses both the SDoH and Health Equity research lenses in the unique setting of school-based health centers.