Opportunity to inform social needs within a hospital setting using data-driven patient engagement

BMJ Open Quality

article

Shoshana Hahn-Goldberg¹  Pauline Pariser³  Colton Schwenk⁵  Andrew Boozary³ 

[1] OpenLab , University Health Network;Leslie Dan Faculty of Pharmacy , University of Toronto;Gattuso Centre for Social Medicine , University Health Network;Family and Community Medicine , University of Toronto;Canadian College of Naturopathic Medicine

关键词: healthcare quality improvement;    health services research;    hospital medicine;    patient-centred care;    health equity;   

DOI  :  10.1136/bmjoq-2021-001540

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Background High-risk patients account for a disproportionate amount of healthcare use, necessitating the development of care delivery solutions aimed specifically at reducing this use. These interventions have largely been unsuccessful, perhaps due to a lack of attention to patients’ social needs and engagement of patients in developing solutions.Methods The project team used a combination of administrative data, information culled from charts and interviews with high-risk patients to understand social needs, the current experience of addressing social needs in the hospital, and patient preferences and identified opportunities for improvement. Interviews were conducted in March and April 2020, and patients were asked to reflect on their experiences both before and during the COVID-19 pandemic.Results A total of 4579 patients with 26 168 visits to the emergency department and 2904 inpatient admissions in the previous year were identified. Qualitative analysis resulted in three themes: (1) the interaction between social needs, demographics, and health; (2) the hospital’s role in addressing social needs; and (3) the impact of social needs on experiences of care. Themes related to experiences before and during COVID-19 did not differ. Three opportunities were identified: (1) training for staff related to stigma and trauma, (2) improved documentation of social needs and (3) creation of navigation programmes.Discussion Certain demographic factors were clearly associated with an increased need for social support. Unfortunately, many factors identified by patients as mediating their need for such support were not consistently captured. Going forward, high-risk patients should be included in the development of quality improvement initiatives and programmes to address social needs.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND