临床医生应该如何跟进对强制性SDoH筛查问题无反应的患者？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2025-09-01 DOI:10.1001/amajethics.2025.642

Audriana Mooth

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引用次数: 0

摘要

健康结构决定因素（SDoH）筛查是良好儿科护理的关键，但对改变生活后果的恐惧可能会阻止成年人披露信息，而时间限制使临床医生无法解决一些尴尬但重要的与良好护理计划和管理相关的SDoH主题。透明、清晰和非评判的态度有助于在临床遭遇中培养安全的多学科交流和开放。比SDoH筛查更重要的是应对筛查所揭示的儿童未满足的需求，这是本病例评论的重点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How Should Clinicians Follow Up About Nonresponses to Mandatory SDoH Screening Questions?

Structural determinants of health (SDoH) screening is key to good pediatric care, but fear of life-altering consequences can prevent adults from disclosing information, while time constraints disincentivize clinicians from addressing some awkward but important SDoH topics relevant to good care planning and management. Transparency, clarity, and a nonjudgmental attitude can help cultivate safe multidisciplinary communication and openness during a clinical encounter. Even more important than screening for SDoH is responding to children's unmet needs that screening reveals, which is the focus of this commentary on a case.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.