Identifying and Addressing Social Determinants of Health with an Electronic Health Record.

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Oluwatomi Ajibola, Rehab Tabchi, Karen Hepworth, Alycia Walty, Auguste Niyibizi
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引用次数: 0

Abstract

Objective: The benefits of Social Determinants of Health (SDoH) is well documented but several studies highlight the complexity of collecting and standardizing SDoH data in a way that makes it relevant to the standard clinical interaction. The purpose of this study is to examine how leveraging an Electronic Health Record (EHR) system can facilitate SDoH screening and its integration into Primary Care encounters, while also using the data collected to meet the identified needs.

Methods: This is an observational study design. EHR and SDoH screening data from 2020 to 2023 at 3 primary care sites were gathered. The study was implemented in 3 phases to streamline and establish the screening and referral processes.

Results: SDoH screening increased by 95% from 2020 to 2022 with a consequent increase in social work referrals and the allocation of resources to a targeted patient population.

Conclusion: Identifying SDoH unique to a community or population can be strategically used to deliver relevant and timely services to patients. This fosters a multidisciplinary, collaborative and integrated approach to patient care.

用电子健康记录识别和处理健康的社会决定因素。
目的:健康的社会决定因素(SDoH)的好处有很好的记录,但一些研究强调了收集和标准化SDoH数据的复杂性,使其与标准临床相互作用相关。本研究的目的是研究如何利用电子健康记录(EHR)系统促进SDoH筛查并将其整合到初级保健就诊中,同时使用收集的数据来满足确定的需求。方法:采用观察性研究设计。收集了2020年至2023年3个初级保健站点的EHR和SDoH筛查数据。这项研究分三个阶段进行,以简化和建立筛选和转诊程序。结果:从2020年到2022年,SDoH筛查增加了95%,随之而来的是社会工作转诊和向目标患者群体分配资源的增加。结论:确定社区或人群独有的SDoH可以战略性地用于向患者提供相关和及时的服务。这促进了多学科、协作和综合的病人护理方法。
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
CiteScore
4.90
自引率
6.90%
发文量
168
审稿时长
4-8 weeks
期刊介绍: Published since 1988, the Journal of the American Board of Family Medicine ( JABFM ) is the official peer-reviewed journal of the American Board of Family Medicine (ABFM). Believing that the public and scientific communities are best served by open access to information, JABFM makes its articles available free of charge and without registration at www.jabfm.org. JABFM is indexed by Medline, Index Medicus, and other services.
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