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Provider Impacts of Socioeconomic Risk Screening and Referral Programs: A Scoping Review
Journal of the American Board of Family Medicine ( IF 2.9 ) Pub Date : 2021-07-01 , DOI: 10.3122/jabfm.2021.04.210039
Andrea Quiñones-Rivera 1 , Holly E Wing 1 , Jill Barr-Walker 1 , Megan Yee 1 , Jessica M Harrison 1 , Laura M Gottlieb 1
Affiliation  

Background: Initiatives to identify and intervene on patients' socioeconomic needs in the context of health care delivery are expanding. Little information has been compiled across studies on health care providers' knowledge, attitudes, beliefs, and behaviors (KABB) regarding socioeconomic risk screening and referral interventions. Methods: We conducted a systematic scoping review of providers' KABB related to health care–based socioeconomic risk screening and referral interventions using several search engines. Included studies assessed health care providers' KABB about screening and interventions conducted in clinical settings. Results: Of 14,757 studies evaluated, 53 were eligible for inclusion. Study designs were heterogeneous. Outcome measures included attitudes and beliefs (n = 42), provider behaviors (n = 35), and provider knowledge (n = 26). The majority of providers expressed positive attitudes toward addressing patients' socioeconomic risks. Participants endorsed concerns regarding insufficient knowledge and resources, time and workflow disruption, and potential negative impacts of screening and referral programs on relationships. Exposure to screening and referral programs led to increases in providers' positive attitudes, socioeconomic risk screening rates, and reported knowledge about intervention options. Conclusions: Participation in screening and referral programs seems to influence providers' perception of implementation barriers. Future research should explore providers' concerns about addressing identified risks.

中文翻译:

社会经济风险筛查和转诊计划的提供者影响:范围审查

背景:在提供医疗保健服务的背景下,识别和干预患者社会经济需求的举措正在扩大。关于卫生保健提供者在社会经济风险筛查和转诊干预方面的知识、态度、信念和行为 (KABB) 的研究中收集的信息很少。方法:我们使用多个搜索引擎对提供者的与基于医疗保健的社会经济风险筛查和转诊干预相关的 KABB 进行了系统的范围界定审查。纳入的研究评估了医疗保健提供者关于在临床环境中进行的筛查和干预的 KABB。结果:在评估的 14,757 项研究中,53 项符合纳入条件。研究设计是异质的。结果测量包括态度和信念 (n = 42)、提供者行为 (n = 35)、和提供者知识(n = 26)。大多数提供者对解决患者的社会经济风险表示积极态度。参与者赞同对知识和资源不足、时间和工作流程中断以及筛查和转诊计划对关系的潜在负面影响的担忧。接触筛查和转诊计划导致提供者的积极态度、社会经济风险筛查率和有关干预选择的报告知识增加。结论:参与筛查和转诊计划似乎会影响提供者对实施障碍的看法。未来的研究应探讨提供者对解决已识别风险的担忧。社会经济风险。参与者赞同对知识和资源不足、时间和工作流程中断以及筛查和转诊计划对关系的潜在负面影响的担忧。接触筛查和转诊计划导致提供者的积极态度、社会经济风险筛查率和有关干预选择的报告知识增加。结论:参与筛查和转诊计划似乎会影响提供者对实施障碍的看法。未来的研究应探讨提供者对解决已识别风险的担忧。社会经济风险。参与者赞同对知识和资源不足、时间和工作流程中断以及筛查和转诊计划对关系的潜在负面影响的担忧。接触筛查和转诊计划导致提供者的积极态度、社会经济风险筛查率和有关干预选择的报告知识增加。结论:参与筛查和转诊计划似乎会影响提供者对实施障碍的看法。未来的研究应探讨提供者对解决已识别风险的担忧。接触筛查和转诊计划导致提供者的积极态度、社会经济风险筛查率和有关干预选择的报告知识增加。结论:参与筛查和转诊计划似乎会影响提供者对实施障碍的看法。未来的研究应探讨提供者对解决已识别风险的担忧。接触筛查和转诊计划导致提供者的积极态度、社会经济风险筛查率和有关干预选择的报告知识增加。结论:参与筛查和转诊计划似乎会影响提供者对实施障碍的看法。未来的研究应探讨提供者对解决已识别风险的担忧。
更新日期:2021-07-27
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