美国六个内分泌中心中健康筛查率的社会决定因素增加:来自T1D交流质量改进协作的结果

Q2 Medicine

Clinical Diabetes Pub Date : 2023-10-31 DOI:10.2337/cd23-0060

Ori Odugbesan, Trevon Wright, Nana-Hawa Yayah Jones, Selorm Dei-Tutu, Mary Pat Gallagher, Emily DeWit, Roberto E. Izquierdo, Marisa Desimone, Nicole Rioles, Osagie Ebekozien

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引用次数: 0

摘要

健康的社会决定因素(SDOH)与1型糖尿病患者的预后密切相关。T1D交流质量改进协作项目中的6个中心应用质量改进原则设计了迭代的计划-执行-研究-行动循环，以开发和扩大干预措施，提高SDOH筛查率。测试的干预措施包括工作人员培训、社会风险指数、面向患者的电子健康记录门户、与社区组织的伙伴关系以及转介到社区资源。所有中心都成功地提高了SDOH的筛查率，在27个月内，个别地点的筛查率从41%到70%不等，6个中心的总体筛查率从基线的1%增加到70%。

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Increasing Social Determinants of Health Screening Rates Among Six Endocrinology Centers Across the United States: Results From the T1D Exchange Quality Improvement Collaborative

Social determinants of health (SDOH) are strongly associated with outcomes for people with type 1 diabetes. Six centers in the T1D Exchange Quality Improvement Collaborative applied quality improvement principles to design iterative Plan-Do-Study-Act cycles to develop and expand interventions to improve SDOH screening rates. The interventions tested include staff training, a social risk index, an electronic health record patient-facing portal, partnerships with community organizations, and referrals to community resources. All centers were successful in improving SDOH screening rates, with individual site improvements ranging from 41 to 70% and overall screening across the six centers increasing from a baseline of 1% to 70% in 27 months.

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来源期刊

Clinical Diabetes Medicine-Internal Medicine

CiteScore

4.30

自引率

0.00%

发文量

期刊介绍： The mission of Clinical Diabetes is to provide primary care providers and all clinicians involved in the care of people with diabetes with information on advances and state-of-the-art care for people with diabetes. Clinical Diabetes is also a forum for discussing diabetes-related problems in practice, medical-legal issues, case studies, digests of recent research, and patient education materials.