A descriptive study of the connections between social risk and healthcare utilization with supportive oncology care.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2024-09-27 DOI:10.1080/07347332.2024.2404560

Rebecca Cammy, Joshua Banks, Celeste Vaughan-Briggs, Gregory Garber, Steven Pantilat, Brooke Worster

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引用次数: 0

Abstract

Objective: This study utilized social risk data in the electronic heath record collected as part of routine clinical practice and examined relationships with supportive oncology care contacts and healthcare utilization.

Methods: A total of 2,807 cancer patients were screened for four social determinants of health (SDOH) domains (financial resource strain, housing instability, food insecurity, and transportation need) and categorized to low or high risk SDOH groups. The number of patient contacts with supportive oncology was compared amongst the groups. The data were analyzed for demographic and outcome differences including emergency department visits, inpatient admissions, and appointment adherence.

Results: Heightened social risk was associated with more total contacts with supportive oncology care. Patients with high SDOH risk had more contacts across all outcomes examined including emergency department visits (M = 13), inpatient admissions (M = 14), and missed appointments (M = 11).

Conclusions: Patients with both greater social risks and acute care utilization are associated with more psychosocial interventions in supportive oncology follow-up. These findings highlight the need for comprehensive action to respond to social risk factors identified in SDOH screening.

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一项关于社会风险与使用肿瘤支持性护理的医疗服务之间关系的描述性研究。

目的：本研究利用在日常临床实践中收集的电子病历中的社会风险数据，研究与支持性肿瘤护理接触和医疗使用之间的关系：本研究利用在常规临床实践中收集的电子病历中的社会风险数据，研究了与支持性肿瘤护理联系人和医疗保健利用率之间的关系：共对 2,807 名癌症患者进行了四个健康社会决定因素（SDOH）领域（经济资源紧张、住房不稳定、食品不安全和交通需求）的筛查，并将其分为低风险或高风险 SDOH 组。比较了各组患者与支持性肿瘤学接触的次数。对数据进行了人口统计学和结果差异分析，包括急诊就诊率、住院率和预约遵守率：结果：较高的社会风险与较多的肿瘤支持性治疗总接触次数有关。SDOH风险高的患者在所有检查结果中都有更多的接触，包括急诊就诊（M = 13）、住院（M = 14）和错过预约（M = 11）：结论：在支持性肿瘤随访中，社会风险和急症护理使用率均较高的患者需要更多的社会心理干预。这些发现凸显了采取综合措施应对 SDOH 筛查中发现的社会风险因素的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.