Impact of the Social Determinants of Health in the Central Catalan Region
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 1,500
- 试验地点
- 1
- 主要终点
- Population Taxes
研究概览
简要总结
The objective of this study is to increase the registry of social determinants of health in the primary care centers and evaluate the relationship that these social determinants of health with various variables of social impact.
详细描述
Currently, the social problems are hidden behind clinical diagnostics. This may lead to overdiagnosis and overtreatment of some discomforts/pathologies that are observed in primary care centers that may respond better to community level interventions and promotion of health actions.
It is longitudinal , multicentered, pre and post intervention study, conducted by health professionals of central Catalonia sanitary region during 2019 Prior to the intervention, the number and type of social coded diagnoses in the clinical history is going to be described. Subsequently, an intervention will be carried out: training the professionals in the homogeneous codification of five selected social determinants. This codification will be systematically applied .The number and type of social diagnostics registered in the pre and post-intervention periods is going to be compared. Finally, the impact analysis of the social determinants is going to be carried out.
Afterwards the investigators plan to search solutions at Community level for the select social diagnoses
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients have been attended in their primary care centers during 23 September 2019 to 23 April
- •The health professionals should complete the study checklist for each patient .
- •Patients should sign the informed consent form to enter in a study cohort.
排除标准
- •Patients with advanced cognitive impairment because they would not be able to complete the study checklist. The study checklist is consist in answering five questions.
结局指标
主要结局
Population Taxes
时间窗: 12 month
In the descriptive basal analysis, the population taxes of all social diagnoses is going to be described.
次要结局
- Sociodemographic subcategories(7 month)
- Comparison with the post-intervention data of the six diagnostics with Chi Quadrat Test.(7 month)
- Social Impact. Parametric and non parametric test(12 month)