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首页> 美国卫生研究院文献>Journal of Primary Care Community Health >Increasing Warm Handoffs: Optimizing Community Based Referrals in Primary Care Using QI Methodology
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Increasing Warm Handoffs: Optimizing Community Based Referrals in Primary Care Using QI Methodology

机译：越来越多的热切换：使用QI方法优化基于初级保健的基于社区的推荐

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摘要

Social and environmental factors have an outsized effect on one’s health. Children are particularly impacted by the adverse effects of poverty. While social determinants of health (SDH) screening in healthcare settings has proliferated there remain gaps in best practices for screening processes. As research has shown that patient navigation leads to an improvement in unmet social needs and family-reported child health, warm handoffs may be a key factor in assuring that the social needs of families are effectively addressed. Using quality improvement (QI) methods our pediatric clinic worked to increase the warm handoff rate between Community Health Workers (CHWs) and patients with unmet social needs. CHW warm handoff rates increased two-fold over the intervention period. Our results illustrate that QI methods can be used to optimize workflows to increase warm handoffs with CHWs. This is important as health centers work to improve their social needs screening and referral programs.
机译：社会和环境因素对一个人的健康产生了突出的影响。儿童特别影响贫困的不利影响。虽然健康环境中的健康（SDH）筛查的社会决定因素增殖，但筛选过程的最佳实践仍然存在差距。由于研究表明，患者导航导致未满足的社会需求和家庭报告的儿童健康的改善，温暖的切换可能是确保家庭的社会需求有效地解决的关键因素。采用质量改进（QI）方法我们的儿科诊所致力于增加社区卫生工作者（CHW）与未满足社会需求的患者之间的温暖切换率。 CHW温暖的切换率在干预期内增加了两倍。我们的结果说明了QI方法可用于优化工作流以增加与CHW的热切换。这与保健中心努力改善社会需求筛选和转诊计划很重要。

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