scholarly journals Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Matthew W. Kreuter ◽  
Tess Thompson ◽  
Amy McQueen ◽  
Rachel Garg
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Determinants Of Health ◽  
Social Services ◽  
Social Determinants ◽  
Safety Net ◽  
Social Needs ◽  
Determinants Of Health ◽  
Health Improvement ◽  
Health Care Settings

There has been an explosion of interest in addressing social needs in health care settings. Some efforts, such as screening patients for social needs and connecting them to needed social services, are already in widespread practice. These and other major investments from the health care sector hint at the potential for new multisector collaborations to address social determinants of health and individual social needs. This article discusses the rapidly growing body of research describing the links between social needs and health and the impact of social needs interventions on health improvement, utilization, and costs. We also identify gaps in the knowledge base and implementation challenges to be overcome. We conclude that complementary partnerships among the health care, public health, and social services sectors can build on current momentum to strengthen social safety net policies, modernize social services, and reshape resource allocation to address social determinants of health. Expected final online publication date for the Annual Review of Public Health, Volume 42 is April 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Fenômenos migratórios na perspectiva da saúde coletiva

2020 ◽  
Vol 10 (30) ◽  
pp. 198-208
Author(s):  
Aristides Sampaio Cavalcante Neto ◽  
Emanuel Araújo Bezerra ◽  
Ananias Noronha Filho
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Medical Knowledge ◽  
Emigration And Immigration ◽  
Determinants Of Health ◽  
Public Health Care ◽  
Mass Migration

Analisar o perfil de produção dos trabalhos científicos acerca dos fenômenos mundiais de migração em massa que foram conduzidos sob a ótica dos pressupostos da saúde coletiva. Revisão de escopo desenvolvida sobre protocolo Joanna Briggs. Foi realizada a leitura dos títulos e resumos das literaturas, leitura de textos completos e selecionados os trabalhos que possuíam aderência à proposta do estudo. A estratégia resultou em 212 publicações das quais 15 artigos foram eleitos para compor a revisão. Discussão: os artigos analisados sinalizam a hegemonia da visão funcionalista e do saber médico hegemônico. As publicações na área da saúde coletiva que estudam os fenômenos migratórios mundiais são feitas dentro da perspectiva positivista.Descritores: Saúde Pública, Determinantes Sociais de Saúde, Emigração e Imigração. Migratory phenomena in public health care pespectiveAbstract: To analyze the production profile of scientific studies about the worldwide phenomena of mass migration that were conducted from the perspective of the assumptions of collective health. Scope review developed on protocol Joanna Briggs. Literature titles and abstracts were read, full texts were read and the papers that adhered to the study proposal were selected. The strategy resulted in 212 publications of which 15 articles were elected to compose the review. The articles analyzed signaled the hegemony of the functionalist view and the hegemonic medical knowledge. Publications in the area of public health that study world migratory phenomena are made from the positivist perspective.Descriptors: Public Health, Social Determinants of Health, Emigration and Immigration. Fenómenos migratorios y los determinantes sociales de la saludResumen: Analizar el perfil de producción de estudios científicos sobre los fenómenos mundiales de migración masiva que se realizaron desde la perspectiva de los supuestos de salud colectiva. Revisión del alcance desarrollada en el protocolo Joanna Briggs. Se leyeron títulos de literatura y resúmenes, se leyeron textos completos y se seleccionaron los artículos que se adhirieron a la propuesta de estudio. La estrategia resultó en 212 publicaciones de las cuales 15 artículos fueron elegidos para componer la revisión. Los artículos analizados señalan la hegemonía de la visión funcionalista y el conocimiento médico hegemónico. Las publicaciones en el área de la salud pública que estudian los fenómenos migratorios mundiales se realizan desde la perspectiva positivista.Descriptores: Salud Pública, Determinantes Sociales de la Salud, Emigración e Inmigración.

Assessing social determinants of health in a safety-net oncology population: Use of an EHR-based screening and referral system.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19072-e19072
Author(s):  
Rebecca N. W. Tsai ◽  
Muhammad M. Qureshi ◽  
Stephanie Losi ◽  
Michael A. Dyer ◽  
Minh Tam Truong ◽  
...  
Keyword(s):  
Head And Neck ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Radiation Oncology ◽  
Medical Center ◽  
Safety Net ◽  
Social Needs ◽  
Determinants Of Health ◽  
Oncology Patients ◽  
Safety Net Hospital

e19072 Background: Routine electronic health record (EHR)-based screening and resource referral to address social determinants of health (SDOH) have been established in adult primary care clinics and the emergency department of New England’s largest safety-net hospital. The burden of SDOH in safety-net oncology patients is less well-studied. This study aimed to understand the social needs of this vulnerable patient population and evaluate the need for implementation of SDOH screening in the oncology clinic. Methods: Patients with lung or head and neck cancer seen in consultation in the Department of Radiation Oncology at Boston Medical Center between 3/2019-1/2020 were identified. EHRs were reviewed for receipt of THRIVE, an EHR-based screening and referral model addressing SDOH. Associations between patient demographics and SDOH screening were evaluated. Results: A total of 104 head and neck (n = 53; 51%) and lung (n = 51; 49%) patients were identified. Median age was 65 years (interquartile range 57.5-72). The majority of patients were male (71.2%), and English-speaking (82%). Whites, Blacks, and Asians comprised 43%, 38%, and 3% of patients, respectively. Fifteen patients were Hispanic (14%). Patients were most likely to have private health insurance (n = 41; 39%), followed by joint Medicare-Medicaid plans including senior and community health plans for elderly (n = 27; 26%), Medicaid (n = 17; 16%), and Medicare (n = 17; 16%). 83 of 104 patients (79.8%) were screened for at least one SDOH domain, with 55 patients (66%) screened before presentation in radiation oncology clinic. Transportation to medical appointments (16%), food insecurity (14%), and inability affording medications (10%) were the most prevalent concerns among these oncology patients. Housing insecurity, utilities, caregiving, unemployment, and education were identified social concerns for 4-5% of patients. The majority of patients who had at least one social need requested resources to assist them (71%). Age, gender, race, language, and insurance status were not associated with receipt of the SDOH screener (p≥0.1). Conclusions: Safety-net oncology patients report significant social needs. Routine SDOH screening and resource referral should be considered in these vulnerable patients.

scholarly journals When there is no sleep: forced migration and the social determinants of health during post-migration

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Ona
Keyword(s):  
Public Health ◽  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Care Services ◽  
Forced Migration ◽  
Determinants Of Health ◽  
Health Clinic ◽  
Care Services ◽  
The Social

Abstract Attending to and addressing the public health needs of forced migrants, especially those who experience torture due to their identities as sexual minorities, is increasingly challenging in socio-political landscapes that may negatively impact access to health resources and health care services. A great deal of public health intervention work has focused on pre-migration and migration contexts but post-migration contexts remain less developed in regards to the social determinants of health. The significance of post-migration challenges to refugee and asylum seekers' health need to integrate social determinants of health frameworks that meaningfully engage with the risk and protective factors in the complex sociocultural conditions in post-migratory experiences that include social, economic and political factors that impinge on housing, legal representation, employment, education food security and health access. This presentation provides findings from an integrated biopsychosocial and spiritual intervention that focused on LGBTQ refugee and asylum-seeking populations seeking health care services at a health clinic in North America. These findings recommend horizontal approaches that engage in transdisciplinary teams that address physical, emotional, social, spiritual and mental health arenas to engage in a social determinants of health framework. Key messages Integrated, trauma-responsive biopsychosocial and spiritual interventions may be most effective post-migration. Increased public health activism must support post-migration health interventions.

scholarly journals Public Health capacities for action on the social determinants of health in Europe

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
S van den Broucke ◽  
C Aluttis ◽  
K Michelsen ◽  
H Brand ◽  
C Chiotan ◽  
...  
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social

A public health model of the social determinants of health

2003 ◽  
Vol 48 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Zahid Ansari ◽  
Norman J. Carson ◽  
Michael J. Ackland ◽  
Loretta Vaughan ◽  
Adrian Serraglio
Keyword(s):  
Public Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Public Health Model ◽  
The Social ◽  
Health Model

scholarly journals Impact of COVID-19 on social determinants of health for adults with cystic fibrosis

2021 ◽  
Vol 15 ◽  
pp. 175346662110374
Author(s):  
Dana Albon ◽  
Heather Bruschwein ◽  
Morgan Soper ◽  
Rhonda List ◽  
Deirdre Jennings ◽  
...  
Keyword(s):  
Health Care ◽  
Cystic Fibrosis ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Issues ◽  
Determinants Of Health ◽  
Care Utilization ◽  
Health Questionnaire ◽  
Improvement Project ◽  
The Impact

Introduction: Outcomes in cystic fibrosis are influenced by multiple factors, including social determinants of health. Low socioeconomic status has been shown to be associated with lung function decline, increased exacerbation rates, increased health care utilization, and decreased survival in cystic fibrosis. The COVID-19 pandemic disrupted the US economy, placing people with cystic fibrosis at risk for negative impacts due to changes in social determinants of health. Methods: To characterize the impact of COVID-19-related changes in social determinants of health in the adult cystic fibrosis population, a social determinants of health questionnaire was designed and distributed to patients as part of a quality improvement project. Results: Of 132 patients contacted, 76 (57.6%) responses were received. Of these responses, 22 (28.9%) answered yes to at least one question that indicated an undesired change in social determinants of health. Patients with stable employment prior to COVID-19 were more likely to endorse undesired change in all domains of the questionnaire, and the undesired changes were most likely to be related to employment, insurance security, and access to medications. Patients receiving disability were more likely to report hardship related to utilities and food security compared with patients previously employed or unemployed. Of patients endorsing risk of socioeconomic hardship, 21 (95.5%) were contacted by a social worker and provided resources. Conclusion: Utilizing a social determinants of health questionnaire to screen for social instability in the context of COVID-19 is feasible and beneficial for patients with cystic fibrosis. Identifying social issues early during the pandemic and implementing processes to provide resources may help patients with cystic fibrosis mitigate social hardship and maintain access to health care and medications.

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