A Community Health Worker-Led Rotation to Train Medical Students in the Social Determinants of Health

2018 ◽  
Vol 29 (2) ◽  
pp. 581-590 ◽  
Author(s):  
Shreya Kangovi ◽  
Tamala Carter ◽  
Robyn A. Smith ◽  
Horace M. DeLisser
Keyword(s):  
Medical Students ◽  
Community Health ◽  
Social Determinants Of Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social

scholarly journals A Community Health Worker Intervention to Address the Social Determinants of Health Through Policy Change

2013 ◽  
Vol 35 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Maia Ingram ◽  
Ken A. Schachter ◽  
Samantha J. Sabo ◽  
Kerstin M. Reinschmidt ◽  
Sofia Gomez ◽  
...  
Keyword(s):  
Community Health ◽  
Social Determinants Of Health ◽  
Health Worker ◽  
Policy Change ◽  
Community Health Worker ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social

Community Health Worker Intervention to Address Social Determinants of Health for Children Hospitalized With Asthma

2021 ◽  
Vol 11 (12) ◽  
pp. 1370-1376
Author(s):  
Sarah B. Schechter ◽  
Divya Lakhaney ◽  
Patricia J. Peretz ◽  
Luz Adriana Matiz
Keyword(s):  
Community Health ◽  
Social Determinants Of Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Social Determinants ◽  
Social Resources ◽  
Determinants Of Health ◽  
Social Resource ◽  
Asthma Outcomes ◽  
The Impact

BACKGROUND Social determinants of health (SDOH) contribute to racial disparities in asthma outcomes. Community health worker (CHW) programs represent a promising way to screen for SDOH and connect patients to resources, but the impact of CHW programs in the inpatient pediatric setting has been examined in few studies. In this study, we aimed to evaluate a CHW program for children hospitalized with asthma in a predominantly Hispanic community by examining rates of SDOH and social resource navigation. METHODS This pilot study involved a CHW intervention to improve pediatric asthma care. Patients were included if they were hospitalized with asthma over an 18-month period and enrolled in the CHW program during their hospitalization. In an intake interview, CHWs screened caregivers for SDOH and provided tailored social resource navigation. Descriptive statistics were used to assess rates of social risk factors and social resource navigation. RESULTS Eighty patients underwent SDOH screening. The majority of patients were Hispanic (81.3%, n = 65). Half of caregivers reported food or housing insecurity over the past 12 months (50.0%, n = 40), and most reported inadequate housing conditions (63.8%, n = 51). CHWs coordinated social resources for the majority of families (98.8%, n = 79), with the most common being food resources (42.5%, n = 34), housing resources (82.5%, n = 66), and appointment navigation (41.3%, n = 33). CONCLUSIONS CHWs identified a high burden of unmet social needs and provided associated social resource navigation in a largely Hispanic pediatric population hospitalized for asthma. CHW programs have potential to improve asthma outcomes by linking high-risk patients with social resources.

Social Determinants of Health Screening by Pre-clinical Medical Students during the COVID-19 Pandemic: A Service-Based Learning Case Study (Preprint)

2021 ◽  
Author(s):  
Tara Herrera ◽  
Kevin P Fiori ◽  
Heather Archer-Dyer ◽  
David W. Lounsbury ◽  
Judith Wylie-Rosett
Keyword(s):  
Medical Student ◽  
Community Health ◽  
Social Determinants Of Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Social Determinants ◽  
Social Needs ◽  
Determinants Of Health ◽  
Learning Approach ◽  
Health Record

BACKGROUND Background: Inclusion of social determinants of health is mandated for undergraduate medical education. However, little is known about how prepare pre-clinical students for “real world” screening and referrals to address social determinants of health. OBJECTIVE The pilot project objective was to evaluate the feasibility of using “real world” service-based learning approach in training pre-clinical students to assess social needs and make relevant referrals via the electronic medical record during in COVID-19 pandemic (May-June 2020). METHODS This project was designed to address an acute community service need and to teach pre-clinical second-year medical student (n=11) volunteers how to assess social needs and make referrals using the 10-item Social Determinants of Screening Questionnaire in the electronic health record (epic platform). Third-year medical student volunteers (n= 3), who had completed six clinical rotations, led the one-day skills development orientation and were available for on-going mentoring and peer support. All student-patient communication was by telephone, and bi-lingual (English/Spanish) students called the patients, who preferred to communicate in Spanish. We analyzed EHR data extracted from epic to evaluate screening and data extracted from REDCap to evaluate community health worker notes. We elicited feedback from the participating pre-clinical students to evaluate the future use of this community-based service-learning approach in our pre-clinical curriculum. RESULTS The pre-clinical students completed 45 screening interviews; 20 patients (44%) screened positive for at least one social need. Almost all (19/20) were referred to the community health worker. Half (8/16) patients, who had community health worker consultation, were connected with a relevant social service resource. The pre-clinical students indicated that project participation increased their ability to assess social needs and to make needed electronic health record referrals. Food insecurity was the most common social needs. CONCLUSIONS Practical exposure to social needs assessment has the potential to develop pre-clinical medical students’ ability to address social concerns prior to entering clinical clerkships in their third year of medical school. The students can also become familiar with the EHR prior to entering third year clerkships. Physicians, who are aware of social needs and have EMR tools and staff resources to act, can create workflows to make social needs assessment and services integral components of health care. Research studies and quality improvement initiatives need to investigate how to integrate screening for social needs and connecting patients to the appropriate social services into routine primary care procedures. CLINICALTRIAL not a clinical trial

Barriers to Teaching Social Determinants of Health: Nursing Study-Abroad Programs in a Digital Age

2016 ◽  
Vol 22 (4) ◽  
pp. 254-258 ◽  
Author(s):  
Hans-Peter de Ruiter
Keyword(s):  
Study Abroad ◽  
Community Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
World Health ◽  
Health Study ◽  
Study Abroad Programs ◽  
The Social ◽  
Barriers To Teaching

The social determinants of health are the conditions in which humans are born, grow up, live, work, and age (World Health Organization [WHO], 2012). In nursing programs, this content is typically taught in community health courses. Another strategy for teaching students how to understand the social determinants of health is study-abroad courses. Budding nurses can learn how to assess conditions that influence the health of a community. Conducting this assessment in a culture that differs from the student’s own can help highlight what factors impact one’s own health. For the past eight years, the author has been teaching the social and cultural determinants of health to nursing students by taking them on 3-week cultural immersion/community health study-abroad programs. Destinations have included Ghana, Austria, the Netherlands, and Thailand. This article presents observations on how the teaching of social determinants of health has changed during the period 2008–2016.

Partnering on the Social Determinants of Health With the Community Health Improvement Matrix

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Barbara P. Laymon ◽  
Reena Chudgar ◽  
Tiffany Huang ◽  
Mukti Kulkarni ◽  
Peter L. Holtgrave ◽  
...  
Keyword(s):  
Community Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Health Improvement ◽  
The Social ◽  
Community Health Improvement
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