Susan J Burnett, Tessa Alianell, Owen Bitnun, Kathryn Ebersole, Bushra Nuruddin, Seth Butler, Stavros Lalos, Brian M Clemency
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Using Covidence software, titles and abstracts then, separately, full texts, were reviewed by two distinct researchers to include studies published in English that referenced SDOH and EMS. We later excluded articles that were published before 2010, when the SDOH term was made more popular by its inclusion in the <i>Healthy People</i> 2020 project. Reviewers then performed data extraction for qualitative analysis using a grounded theory approach.</p><p><strong>Results: </strong>Of the 1,503 records imported from the databases (PubMed <i>n</i> = 779, Web of Science <i>n</i> = 687, CINAHL <i>n</i> = 37), 1,164 unique manuscripts were screened, and 62 full texts were assessed for eligibility. Forty-two articles met inclusion criteria; 39 were EMS patient-centric and three were illustrative of EMS clinicians' SDOH, thus excluded from this analysis. Patient-related impact levels included individual characteristics, community characteristics, EMS clinicians' recognition of and response to SDOH, healthcare system factors, and social and cultural considerations. Articles were on the topic areas of medical conditions, EMS practice, trauma, pediatrics, and mental health. More than half (<i>n</i> = 24) of the manuscripts were from studies conducted in North America and a majority (<i>n</i> = 32) of the papers were published since 2020.</p><p><strong>Conclusions: </strong>Research in SDOH and their association with EMS is rapidly growing. A deeper understanding of how the EMS system and EMS clinicians affect, recognize, and manage patients' SDOH insecurities can improve efforts toward health equity and improve patients' health outcomes.</p>","PeriodicalId":20336,"journal":{"name":"Prehospital Emergency Care","volume":" ","pages":"1-14"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Social Determinants of Health and Emergency Medical Services: A Scoping Review.\",\"authors\":\"Susan J Burnett, Tessa Alianell, Owen Bitnun, Kathryn Ebersole, Bushra Nuruddin, Seth Butler, Stavros Lalos, Brian M Clemency\",\"doi\":\"10.1080/10903127.2025.2468796\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Social determinants of health (SDOH) are the non-medical factors that affect people's health and quality of life. 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引用次数: 0
摘要
目的:健康的社会决定因素(SDOH)是影响人们健康和生活质量的非医学因素。紧急医疗服务(EMS)临床医生通过他们在所服务的社区中的存在和反应,处于识别和应对SDOH的独特地位。本研究的目的是对EMS背景下的SDOH的现有文献进行总体探索。方法:系统评价的首选报告项目和范围评价的元分析扩展指导了PubMed, CINAHL和Web of Science数据库中1960年1月至2024年6月发表的同行评议文献的分析。使用covid软件,两位不同的研究人员分别审查了标题和摘要全文,包括引用SDOH和EMS的英文发表的研究。我们后来排除了2010年之前发表的文章,当时SDOH一词因被纳入“健康人2020”项目而更受欢迎。然后,审稿人使用扎根理论方法进行数据提取以进行定性分析。结果:在从数据库(PubMed n = 779, Web Of Science n = 687, CINAHL n = 37)中导入的1503条记录中,筛选了1164篇独特的手稿,并对62篇全文进行了合格评估。42篇文章符合纳入标准;39例以EMS患者为中心,3例说明EMS临床医生的SDOH,因此被排除在本分析之外。与患者相关的影响水平包括个人特征、社区特征、EMS临床医生对SDOH的认识和反应、医疗保健系统因素以及社会和文化因素。文章的主题领域包括医疗条件、EMS实践、创伤、儿科和心理健康。超过一半(n = 24)的手稿来自北美进行的研究,大多数(n = 32)的论文是在2020年以后发表的。结论:对SDOH及其与EMS关系的研究正在迅速发展。更深入地了解EMS系统和EMS临床医生如何影响、识别和管理患者的SDOH不安全感,可以促进健康公平和改善患者的健康结果。
Social Determinants of Health and Emergency Medical Services: A Scoping Review.
Objectives: Social determinants of health (SDOH) are the non-medical factors that affect people's health and quality of life. Emergency medical services (EMS) clinicians are in a unique position to recognize and respond to SDOH through their presence and responses in the communities they serve. The objective of this study was to generally explore the existing body of literature of SDOH within the context of EMS.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guided the analysis of peer-reviewed literature from PubMed, CINAHL, and Web of Science databases published between January 1960 and June 2024. Using Covidence software, titles and abstracts then, separately, full texts, were reviewed by two distinct researchers to include studies published in English that referenced SDOH and EMS. We later excluded articles that were published before 2010, when the SDOH term was made more popular by its inclusion in the Healthy People 2020 project. Reviewers then performed data extraction for qualitative analysis using a grounded theory approach.
Results: Of the 1,503 records imported from the databases (PubMed n = 779, Web of Science n = 687, CINAHL n = 37), 1,164 unique manuscripts were screened, and 62 full texts were assessed for eligibility. Forty-two articles met inclusion criteria; 39 were EMS patient-centric and three were illustrative of EMS clinicians' SDOH, thus excluded from this analysis. Patient-related impact levels included individual characteristics, community characteristics, EMS clinicians' recognition of and response to SDOH, healthcare system factors, and social and cultural considerations. Articles were on the topic areas of medical conditions, EMS practice, trauma, pediatrics, and mental health. More than half (n = 24) of the manuscripts were from studies conducted in North America and a majority (n = 32) of the papers were published since 2020.
Conclusions: Research in SDOH and their association with EMS is rapidly growing. A deeper understanding of how the EMS system and EMS clinicians affect, recognize, and manage patients' SDOH insecurities can improve efforts toward health equity and improve patients' health outcomes.
期刊介绍:
Prehospital Emergency Care publishes peer-reviewed information relevant to the practice, educational advancement, and investigation of prehospital emergency care, including the following types of articles: Special Contributions - Original Articles - Education and Practice - Preliminary Reports - Case Conferences - Position Papers - Collective Reviews - Editorials - Letters to the Editor - Media Reviews.