使用 SScAR 工具将得不到社会服务的患者与社会服务联系起来。

IF 0.2 Q4 NURSING
Kimberly A Sand
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引用次数: 0

摘要

背景:文献记载,需要对健康的社会决定因素(SDOH)进行筛查。解决 SDOH 问题还需要将患者与可用的社会服务资源联系起来:本社会筛查、评估和转介(Social Screen Assess and Refer,SScAR)质量改进(QI)项目有三个目的:(1)开发一种针对特定机构的工具来筛查社会决定健康因素;(2)在所有新患者评估中使用该工具;以及(3)为患者提供必要的社会服务转介:方法:SScAR 工具改编了已发布的筛查工具中的问题,并以可用的社会服务为中心创建了新的问题。试点研究采用了该工具。对试点前的社会需求记录、试点期间 SScAR 的使用情况、社会需求数量以及转诊情况进行了测量:结果:使用该工具后,SDOH 筛选记录明显改善(α .05, χ2(1) = 21.85, p < .001)。向特定社会资源的后续转介仅增加了 5%:结论:SScAR 是确定 SDOH 需求的可行工具,并建立了将患者与社会服务联系起来的机制:未来的研究必须衡量社会服务转介、社会服务利用率以及对血压、血红蛋白 A1c 和胆固醇等特定健康结果的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Linking Underserved Patients to Social Services Using the SScAR Tool.

Background: The need to screen for social determinants of health (SDOH) is well documented in the literature. Addressing SDOH also requires linking patients to available social service resources.

Objective: This Social Screen Assess and Refer (SScAR) Quality Improvement (QI) project purpose was threefold: (1) develop an agency specific tool to screen for SODH; (2) implement this tool in all new patient evaluations; and (3) provide referral to patients for necessary social services.

Methods: The SScAR tool adapted questions from published screening tools and created new questions centered on available social services. A pilot study implemented the tool. Documentation of social needs before the pilot, SScAR utilization during the pilot, number of social needs, and referrals made were measured.

Results: Documentation of SDOH screening significantly improved with the tool (α .05, χ2(1) = 21.85, p < .001). Follow-through referral to specific social resources only increased by 5%.

Conclusions: The SScAR is a feasible tool for identifying SDOH needs and creates a mechanism for linking patients with social services.

Implications for nursing: Future studies must measure social service referrals, utilization of social services, and the resulting impact on specific health outcomes such as blood pressure, hemoglobin A1c, and cholesterol.

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CiteScore
0.60
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