关键词: Systematic review pediatrics primary health care referral and consultation social determinants of health

来  源:   DOI:10.1016/j.pedhc.2024.05.012

Abstract:
BACKGROUND: This study aimed to review approaches to health-related social needs (HRSN) screening and referral in pediatric primary care.
METHODS: PsycINFO, PubMed, and Google Scholar databases were searched to include peer-reviewed studies conducted in the U.S. over the last 30 years that reported HRSN screening and/or referral outcomes in primary care up to age 18. Studies included multiple HRSN domains and a variety of study designs. Data were summarized descriptively.
RESULTS: 20 studies met inclusion criteria. A variety of screening targets and modalities were employed in addition to referral support methods. Positive screens among the domains reported varied depending on the screening process and sample.
CONCLUSIONS: This review highlights a range of patient-centered innovations for HRSN screening and referral that may be adaptable to a range of local needs and capacities. Ongoing rigorous evaluation of these models is needed.
摘要:
背景:本研究旨在回顾儿科初级保健中健康相关社会需求(HRSN)筛查和转诊的方法。
方法:PsycINFO,PubMed,和GoogleScholar数据库被搜索,包括过去30年在美国进行的同行评审研究,这些研究报告了18岁以下初级保健的HRSN筛查和/或转诊结果。研究包括多个HRSN结构域和多种研究设计。数据进行了描述性总结。
结果:20项研究符合纳入标准。除了转诊支持方法外,还采用了各种筛选目标和方式。所报告的域中的阳性筛选根据筛选过程和样品而变化。
结论:本综述重点介绍了一系列以患者为中心的HRSN筛查和转诊创新,这些创新可能适用于一系列当地需求和能力。需要对这些模型进行持续严格的评估。
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