دورية أكاديمية
أعرض في EDS

Assessment and Documentation of Social Determinants of Health Among Health Care Providers: Qualitative Study.

التفاصيل البيبلوغرافية
العنوان: Assessment and Documentation of Social Determinants of Health Among Health Care Providers: Qualitative Study.
المؤلفون: Yelton B; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Rumthao JR; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Sakhuja M; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Macauda MM; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.; Center for Applied Research and Evaluation, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Donelle L; College of Nursing, University of South Carolina, Columbia, SC, United States., Arent MA; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Yang X; SC SmartState Center for Healthcare Quality, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Li X; SC SmartState Center for Healthcare Quality, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Noblet S; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States., Friedman DB; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
المصدر: JMIR formative research [JMIR Form Res] 2023 Jul 03; Vol. 7, pp. e47461. Date of Electronic Publication: 2023 Jul 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]-
مستخلص: Background: Research clearly demonstrates social determinants of health (SDOH) impact health outcomes. Provider consideration of patient SDOH in prevention and treatment planning is critical for improved health care quality and health equity. Despite awareness of the connections between SDOH and improved population health, research demonstrates few providers document patient SDOH.
Objective: This qualitative study aimed to better understand the barriers and facilitators of SDOH assessment, documentation, and referral in different health care settings and roles.
Methods: Individual semistructured interviews were conducted with practicing health care providers in South Carolina between August 25, 2022, and September 2, 2022. Participants were recruited via community partners' web-based newsletters or listservs using a purposive sampling design. An interview guide with 19 questions was used to explore the following research question: How do SDOH impact patient health and what are the facilitators and barriers experienced by multidisciplinary health care providers assessing and documenting patient SDOH?
Results: Participants (N=5) included a neonatal intensive care unit registered nurse, a nurse practitioner, a certified nurse midwife, a family and preventive medicine physician, and a counselor (licensed clinical social worker) with careers spanning 12 to 32 years. Participant responses are presented according to the following 5 themes: participants' understanding of SDOH for the patient population, assessment and documentation practices, referrals to other providers and community-based resources, barriers and facilitators of SDOH assessment and documentation, and SDOH assessment and documentation training preferences. Overall, participants were aware of the importance of including patient SDOH in assessment and intervention but noted a variety of institutional and interpersonal barriers to assessment and documentation, including time constraints, perceptions of stigma around discussion of SDOH, and limited referral protocols.
Conclusions: Incentivizing inclusion of patient SDOH in health care must be facilitated from the top down, so assessment and documentation can be universally implemented in a pragmatic way that works for providers in a variety of roles and settings for the betterment of health care quality, health equity, and improved population health outcomes. Partnering with community organizations can serve to augment health care organizations' resource and referral availability for addressing patients' social needs.
(©Brooks Yelton, Jancham Rachel Rumthao, Mayank Sakhuja, Mark M Macauda, Lorie Donelle, Michelle A Arent, Xueying Yang, Xiaoming Li, Samuel Noblet, Daniela B Friedman. Originally published in JMIR Formative Research (https://formative.jmir.org), 03.07.2023.)
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فهرسة مساهمة: Keywords: Healthy People 2030; SDOH; barrier; community health status; facilitator; health care provider; health care worker; health equity; interviews; patient health; qualitative study; social determinants of health; thematic analysis; web-based; well-being
تواريخ الأحداث: Date Created: 20230703 Latest Revision: 20230726
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10365596
DOI: 10.2196/47461
PMID: 37399064
قاعدة البيانات: MEDLINE
الوصف
تدمد:2561-326X
DOI:10.2196/47461