A Standardized Protocol for Assessing and Addressing Social Determinants of Health.

IF 1.7 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2026-04-01 Epub Date: 2025-10-14 DOI:10.1097/NCQ.0000000000000918
Mary D Chenge, Dianne Conrad
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引用次数: 0

Abstract

Background: Assessing and addressing social determinants of health (SDOH) is essential to improving patient outcomes and reducing health care costs.

Problem: Although SDOH screening tools exist, many health care organizations lack a standardized process for assessing and addressing social needs.

Approach: A structured process was developed to increase SDOH screenings, social work referrals, and reimbursement. This included an organizational assessment, selection of an evidence-based screening tool, protocol development, and implementation using the Plan-Do-Study-Act framework.

Outcomes: To review the outcomes of implementing a standardized process for addressing SDOH, a quality improvement project at a primary care clinic was reviewed showing improvement in screenings, referrals, and reimbursements for billable screenings.

Conclusion: Implementing a standardized SDOH protocol can improve patient outcomes, reduce unnecessary health care visits, and increase reimbursements for organizations. Continued evaluation is needed.

评估和处理健康问题社会决定因素的标准化规程。
背景:评估和解决健康的社会决定因素(SDOH)对改善患者预后和降低医疗保健成本至关重要。问题:尽管存在SDOH筛查工具,但许多卫生保健组织缺乏评估和解决社会需求的标准化流程。方法:开发了一个结构化的过程,以增加SDOH筛查,社会工作转介和报销。这包括组织评估、选择循证筛选工具、制定方案以及使用计划-执行-研究-行动框架实施。结果:为了审查实施解决SDOH的标准化过程的结果,对初级保健诊所的质量改进项目进行了审查,显示了筛查、转诊和可计费筛查的报销方面的改善。结论:实施标准化的SDOH方案可以改善患者的预后,减少不必要的医疗保健就诊,并增加组织的报销。需要继续进行评估。
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
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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