Social care best practices: Learnings from a technology–enabled closed–loop referral network
研究了角色和环境如何影响健康社会决定因素筛查,发现社区健康工作者和护理管理者更能获取真实需求,但人员有限;共情培训可提升医疗助理的筛查准确性,患者在家或通过MyChart自报更易透露需求,但需解决数字鸿沟。
Conclusion:Roles and setting clearly impact SDOH screening.Roles that traditionally better establish trust with patients (i.e., CHW, ACM) are well placed to obtain honest answers regarding needs; however, staffing resources are limited.Empathic inquiry training would benefit MAs to obtain more accurate screens.Patients are also more likely to reveal needs when they are in a comfortable setting (MIH screens occur in patients' homes) or they self-report via MyChart; however, inequities in digital access and technology literacy must be addressed.