整合健康的社会决定因素到临床配方:需要一个双轴系统在DSM和精神病学。

IF 3.2
Psychiatric services (Washington, D.C.) Pub Date : 2025-10-01 Epub Date: 2025-08-08 DOI:10.1176/appi.ps.20240610
Matthew D Erlich, Michael B First, Rachel M Talley, Lisa B Dixon, Jeffrey Berlant, Matthew L Edwards, Marcus A Moreno, Nicole Kozloff, Mary F Brunette, Samuel Siris, David A Adler
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引用次数: 0

摘要

尽管健康的社会决定因素(SDOH)对健康结果有重大影响,并且许多已被列入DSM-5中的“可能成为临床关注焦点的其他条件”,但对这些代码的普遍认识以及使用它们来沟通SDOH的重要性尚未发生。本公开论坛建议DSM-5采用双轴评估系统,以加强其考虑和报告。作者认为,双轴方法与财政激励相结合,将增加SDOH报告的可能性,并有可能改善护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating Social Determinants of Health Into Clinical Formulations: The Need for a Biaxial System in the DSM and Psychiatry.

Although social determinants of health (SDOH) have a significant impact on health outcomes and many are already included among the "Other Conditions That May Be a Focus of Clinical Attention" in the DSM-5, general awareness of these codes and the importance of using them to communicate SDOH has not occurred. This Open Forum proposes that the DSM-5 adopt a biaxial system of assessment to enhance their consideration and reporting. A biaxial approach, the authors argue, when combined with financial incentives, will increase the likelihood of SDOH reporting and potentially improve care.

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