A Systematic Literature Review of Health Center Efforts to Address Social Determinants of Health.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Nadereh Pourat, Connie Lu, Denisse M Huerta, Brionna Y Hair, Hank Hoang, Alek Sripipatana
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引用次数: 3

Abstract

Health centers (HCs) play a crucial and integral role in addressing social determinants of health (SDOH) among vulnerable and underserved populations, yet data on SDOH assessment and subsequent actions is limited. We conducted a systematic review to understand the existing evidence of integration of SDOH into HC primary-care practices. Database searches yielded 3,516 studies, of which 41 articles met the inclusion criteria. A majority of studies showed that HCs primarily captured patient-level rather than community-level SDOH data. Studies also showed that HCs utilized SDOH in electronic health records but capabilities varied widely. A few studies indicated that HCs measured health-related outcomes of integrating SDOH data. The review highlighted that many knowledge gaps exist in the collection, use, and assessment of impact of these data on outcomes, and future research is needed to address this knowledge gap.

健康中心努力解决健康的社会决定因素的系统文献综述。
保健中心(hc)在弱势群体和服务不足人群中解决健康的社会决定因素(SDOH)方面发挥着至关重要和不可或缺的作用,但关于SDOH评估和后续行动的数据有限。我们进行了一项系统综述,以了解将SDOH纳入HC初级保健实践的现有证据。数据库检索得到3516篇研究,其中41篇符合纳入标准。大多数研究表明,卫生保健中心主要获取患者水平而不是社区水平的SDOH数据。研究还表明,卫生保健机构在电子健康记录中利用了SDOH,但能力差异很大。少数研究表明,卫生保健中心衡量整合SDOH数据的健康相关结果。该综述强调,在收集、使用和评估这些数据对结果的影响方面存在许多知识差距,需要未来的研究来解决这一知识差距。
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来源期刊
Medical Care Research and Review
Medical Care Research and Review 医学-卫生保健
CiteScore
6.00
自引率
4.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, economics, and the financing of health and medical care systems. MCRR also includes original empirical and theoretical research and trends to enable policy makers to make informed decisions, as well as to identify health care trends. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 25 days
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