The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need.

emergency medicine social determinants of health

Journal

Journal of the American College of Emergency Physicians open
ISSN: 2688-1152
Titre abrégé: J Am Coll Emerg Physicians Open
Pays: United States
ID NLM: 101764779

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 15 05 2020
revised: 18 06 2020
accepted: 22 06 2020
entrez: 4 11 2020
pubmed: 5 11 2020
medline: 5 11 2020
Statut: epublish

Résumé

Emergency medicine has increasingly focused on addressing social determinants of health (SDoH) in emergency medicine. However, efforts to standardize and evaluate measurement tools and compare results across studies have been limited by the plethora of terms (eg, SDoH, health-related social needs, social risk) and a lack of consensus regarding definitions. Specifically, the social risks of an individual may not align with the social needs of an individual, and this has ramifications for policy, research, risk stratification, and payment and for the measurement of health care quality. With the rise of social emergency medicine (SEM) as a field, there is a need for a simplified and consistent set of definitions. These definitions are important for clinicians screening in the emergency department, for health systems to understand service needs, for epidemiological tracking, and for research data sharing and harmonization. In this article, we propose a conceptual model for considering SDoH measurement and provide clear, actionable, definitions of key terms to increase consistency among clinicians, researchers, and policy makers.

Identifiants

pubmed: 33145531
doi: 10.1002/emp2.12191
pii: EMP212191
pmc: PMC7593464
doi:

Types de publication

Journal Article

Langues

eng

Pagination

852-856

Subventions

Organisme : AHRQ HHS
ID : K08 HS025701
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL143042
Pays : United States

Informations de copyright

© 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians.

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Auteurs

Margaret E Samuels-Kalow (ME)

Department of Emergency Medicine Massachusetts General Hospital Harvard Medical School Massachusetts USA.

Gia E Ciccolo (GE)

Department of Emergency Medicine Massachusetts General Hospital Harvard Medical School Massachusetts USA.

Michelle P Lin (MP)

Department of Emergency Medicine Icahn School of Medicine at Mount Sinai New York New York USA.

Elizabeth M Schoenfeld (EM)

Department of Emergency Medicine and Institute for Healthcare Delivery and Population Science University of Massachusetts Medical School - Baystate Springfield Massachusetts USA.

Carlos A Camargo (CA)

Department of Emergency Medicine Massachusetts General Hospital Harvard Medical School Massachusetts USA.

Classifications MeSH