Implementation Barriers to Social Needs Screenings in Routine Emergency Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,081
- 试验地点
- 2
- 主要终点
- Health Utilization Outcome questionnaire
研究概览
简要总结
This study will determine whether existing Health Information Technology can be leveraged to 1) implement a universal, patient-centered social needs assessment and referral process during routine Emergency Department care; 2) understand whether linking social needs assessment, community based referral, and health outcomes data may facilitate an understanding of population health; and 3) address the needs and wishes of patients and clinicians.
Hypothesis: Results of this study will provide much needed information to already overburdened hospital systems regarding whether systematically incorporating social needs information and referrals into emergency discharge processes allows for a better understanding of factors placing patients at risk for poor outcomes post-discharge, and whether doing so has potential for enhancing discharge support for a larger patient population seen in emergency departments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
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
- •seen in the UHealth University hospital ED
- •ability to use touchpad technology
- •ability to communicate via telephone for 211 follow-up
排除标准
- •Non-English and non-Spanish speaking (English nor Spanish need not be the 1st language)
- •unable to communicate verbally
- •admitted to an inpatient unit or to a skilled nursing facility (vs discharged to a community-based setting where participants are responsible for their own self-care)
结局指标
主要结局
Health Utilization Outcome questionnaire
时间窗: 60 days
The variable will be created by combining primary care utilization (yes/no), ED revisit (yes/no), and hospitalization (yes/no) within 60 days of original ED visit. Scores range from 0 to 3. Higher scores indicate worse health utilization outcomes.
次要结局
未报告次要终点
研究者
Andrea Wallace
Associate Professor
University of Utah
