PDF(Pubmed)
Abstract：
UNASSIGNED: Addressing social determinants of health (SDOH) is fundamental to improving health outcomes. At a student-run free clinic, we developed a screening process to understand the SDOH needs and resource utilization of Milwaukee\'s uninsured population.
UNASSIGNED: In this cross-sectional study, we screened adult patients without health insurance (N = 238) for nine traditional SDOH needs as well as their access to dental and mental health care between October 2021 and October 2022. Patients were surveyed at intervals greater than or equal to 30 days. We assessed correlations between SDOH needs and trends in patient-reported resource usefulness.
UNASSIGNED: Access to dental care (64.7%) and health insurance (51.3%) were the most frequently endorsed needs. We found significant correlations (P ≤ 0.05) between various SDOH needs. Notably, mental health access needs significantly correlated with dental (r = 0.41; 95% CI = 0.19, 0.63), medications (r = 0.51; 95% CI = 0.30, 0.72), utilities (r = 0.39; 95% CI = 0.17, 0.61), and food insecurity (r = 0.42; 95% CI = 0.19, 0.64). Food-housing (r = 0.55; 95% CI = 0.32, 0.78), housing-medications (r = 0.58; 95% CI = 0.35, 0.81), and medications-food (r = 0.53; 95% CI = 0.32, 0.74) were significantly correlated with each other. Longitudinal assessment of patient-reported usefulness informed changes in the resources offered.
UNASSIGNED: Understanding prominent SDOH needs can inform resource offerings and interventions, addressing root causes that burden under-resourced patients. In this study, patient-reported data about resource usefulness prompted the curation of new resources and volunteer roles. This proof-of-concept study shows how longitudinally tracking SDOH needs at low-resource clinics can inform psychosocial resources.
UNASSIGNED: In this cross-sectional study, we screened adult patients without health insurance (N = 238) for nine traditional SDOH needs as well as their access to dental and mental health care between October 2021 and October 2022. Patients were surveyed at intervals greater than or equal to 30 days. We assessed correlations between SDOH needs and trends in patient-reported resource usefulness.
UNASSIGNED: Access to dental care (64.7%) and health insurance (51.3%) were the most frequently endorsed needs. We found significant correlations (P ≤ 0.05) between various SDOH needs. Notably, mental health access needs significantly correlated with dental (r = 0.41; 95% CI = 0.19, 0.63), medications (r = 0.51; 95% CI = 0.30, 0.72), utilities (r = 0.39; 95% CI = 0.17, 0.61), and food insecurity (r = 0.42; 95% CI = 0.19, 0.64). Food-housing (r = 0.55; 95% CI = 0.32, 0.78), housing-medications (r = 0.58; 95% CI = 0.35, 0.81), and medications-food (r = 0.53; 95% CI = 0.32, 0.74) were significantly correlated with each other. Longitudinal assessment of patient-reported usefulness informed changes in the resources offered.
UNASSIGNED: Understanding prominent SDOH needs can inform resource offerings and interventions, addressing root causes that burden under-resourced patients. In this study, patient-reported data about resource usefulness prompted the curation of new resources and volunteer roles. This proof-of-concept study shows how longitudinally tracking SDOH needs at low-resource clinics can inform psychosocial resources.
摘要：
■解决健康的社会决定因素（SDOH）对于改善健康结果至关重要。在学生经营的免费诊所，我们开发了一个筛选过程，以了解密尔沃基无保险人群的SDOH需求和资源利用情况。
■在这项横断面研究中，我们在2021年10月至2022年10月期间,对没有健康保险的成年患者(N=238)进行了9种传统SDOH需求的筛查,以及他们获得牙科和精神卫生保健的机会.以大于或等于30天的间隔对患者进行调查。我们评估了SDOH需求与患者报告的资源有用性趋势之间的相关性。
■获得牙科护理（64.7％）和健康保险（51.3％）是最常被认可的需求。我们发现各种SDOH需求之间存在显着相关性（P≤0.05）。值得注意的是,心理健康获取需求与牙科显着相关(r=0.41；95%CI=0.19，0.63)，药物治疗（r=0.51；95%CI=0.30，0.72），公用事业(r=0.39；95%CI=0.17，0.61)，和粮食不安全(r=0.42；95%CI=0.19，0.64)。食品住房(r=0.55；95%CI=0.32，0.78)，住房药物（r=0.58；95%CI=0.35，0.81），药物和食物（r=0.53；95％CI=0.32，0.74）之间存在显着相关性。对患者报告的有用性的纵向评估告知了所提供资源的变化。
■了解突出的SDOH需求可以为资源提供和干预提供信息，解决资源不足患者负担的根本原因。在这项研究中,患者报告的有关资源有用性的数据促使了对新资源和志愿者角色的管理.这项概念验证研究表明，纵向跟踪低资源诊所的SDOH需求如何为社会心理资源提供信息。
■在这项横断面研究中，我们在2021年10月至2022年10月期间,对没有健康保险的成年患者(N=238)进行了9种传统SDOH需求的筛查,以及他们获得牙科和精神卫生保健的机会.以大于或等于30天的间隔对患者进行调查。我们评估了SDOH需求与患者报告的资源有用性趋势之间的相关性。
■获得牙科护理（64.7％）和健康保险（51.3％）是最常被认可的需求。我们发现各种SDOH需求之间存在显着相关性（P≤0.05）。值得注意的是,心理健康获取需求与牙科显着相关(r=0.41；95%CI=0.19，0.63)，药物治疗（r=0.51；95%CI=0.30，0.72），公用事业(r=0.39；95%CI=0.17，0.61)，和粮食不安全(r=0.42；95%CI=0.19，0.64)。食品住房(r=0.55；95%CI=0.32，0.78)，住房药物（r=0.58；95%CI=0.35，0.81），药物和食物（r=0.53；95％CI=0.32，0.74）之间存在显着相关性。对患者报告的有用性的纵向评估告知了所提供资源的变化。
■了解突出的SDOH需求可以为资源提供和干预提供信息，解决资源不足患者负担的根本原因。在这项研究中,患者报告的有关资源有用性的数据促使了对新资源和志愿者角色的管理.这项概念验证研究表明，纵向跟踪低资源诊所的SDOH需求如何为社会心理资源提供信息。
