"我们需要知道这些事情":以初级保健为基础的临床和社会保健提供者的社会和临床数据组合使用案例。

IF 3 Q1 PRIMARY HEALTH CARE
Yuri Cartier, Caroline Fichtenberg, Karis Grounds, Nicole Blumenfeld, Laura Gottlieb, Danielle Hessler Jones
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引用次数: 0

摘要

导言/目标:基层医疗机构正在越来越多地收集患者的社会风险数据,这为临床和社会医疗服务提供者提供了一个前所未有的机会,使他们可以利用这些综合健康和社会数据来改善患者护理和治疗效果。然而,人们对如何使用这些数据以及哪些特定数据元素的组合最有帮助却知之甚少。我们探讨了提供临床或社会医疗服务的基层医疗人员如何看待患者层面的临床和社会综合数据的潜在益处和使用案例:我们对加利福尼亚州圣地亚哥县 6 家医疗机构的 39 名社会和临床医疗服务提供者进行了定性访谈或焦点小组讨论。我们采用演绎式主题分析方法对访谈内容进行了转录和分析:总的来说,临床和社会医疗服务提供者都注意到了获取这两类数据的价值。参与者强调了整合社会和临床数据的三个好处。这些数据可以(1) 让医疗服务提供者更全面地了解患者的情况;(2) 加强他们同时根据患者的医疗和社会状况提供医疗服务的能力;(3) 加强医疗团队成员之间的协调。受访者列举了社会数据和临床数据配对以改善护理的具体实例:社会和临床医疗服务提供者都设想了获取个人层面的临床和社会综合数据的多种用途和益处,突出了实践和政策创新的潜力,以促进综合数据的获取和利用。未来的研究应重点关注如何提高跨部门数据的可获取性,并评估综合数据对患者社会和健康结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"We Need to Know These Things": Use Cases for Combined Social and Clinical Data Among Primary Care-Based Clinical and Social Care Providers.

Introduction/objectives: Primary care organizations are increasingly collecting data on patients' social risks, bringing forth an unprecedented opportunity to present combined health and social data that clinical and social care providers could leverage to improve patient care and outcomes. Little is known, however, about how these data could be used and what combinations of specific data elements are most helpful. We explored how primary care staff who provide clinical or social care services view potential benefits of and use cases for combined patient-level clinical and social data.

Methods: We conducted qualitative interviews or focus groups with 39 social and clinical care providers representing 6 healthcare organizations in San Diego County, California. Interviews were transcribed and analyzed using a deductive thematic analysis approach.

Results: Overall, both clinical and social care providers noted the value of access to both types of data. Participants highlighted 3 benefits from integrating social and clinical data. The data could: (1) offer providers a more holistic view of patients' circumstances; (2) strengthen their ability to tailor care to patients' medical and social conditions concurrently; and (3) enhance coordination across care team members. Interviewees cited specific examples of ways social and clinical data could be paired to improve care.

Conclusions: Social and clinical care providers alike envisioned multiple uses and benefits of accessing combined individual-level clinical and social data, highlighting the potential for practice and policy innovations to facilitate access and uptake of combined data. Future research should focus on ways to increase accessibility of cross-sector data and evaluate the impact of care informed by combined data on patient social and health outcomes.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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