An Integrative Review of Social Determinants of Health Screenings used in Primary Care Settings

2020 ◽  
Vol 31 (2) ◽  
pp. 603-622
Author(s):  
Samantha Boch ◽  
Hannah Keedy ◽  
Laura Chavez ◽  
Millie Dolce ◽  
Deena Chisolm
Keyword(s):  
Primary Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Integrative Review ◽  
Primary Care Settings ◽  
Health Screenings

scholarly journals Social determinants of health associated with childhood accidents at home: An integrative review

2019 ◽  
Vol 72 (1) ◽  
pp. 265-276 ◽  
Author(s):  
Márcia Gabriela Costa Ribeiro ◽  
Aline Beatriz Rocha Paula ◽  
Maria Augusta Rocha Bezerra ◽  
Silvana Santiago da Rocha ◽  
Fernanda Valéria Silvia Dantas Avelino ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Parental Behavior ◽  
Determinants Of Health ◽  
Integrative Review ◽  
Parental Employment ◽  
The Social ◽  
Childhood Accidents ◽  
Age And Sex ◽  
At Home

ABSTRACT Objective: to analyze the factors associated with childhood accidents at home according to the levels of the social determinants of health. Method: integrative review of the literature, with research in databases CINAHL, LILACS and PubMed, with the following main descriptors: child; social determinants of health; accidentes, home. We included 31 studies that related the social determinants of health and childhood accidents, in English, Portuguese and Spanish. Results: the proximal determinants identified were: age and sex of children, and ethnicity. Among the intermediate determinants of health, parental behavior, related to the supervision of an adult, prevailed. Parental employment and socioeconomic status were identified as distal determinants. Conclusion: the age and sex of the child, besides direct supervision, were the determinants most associated with accidents. The distal determinants should be better studied because their relation with the occurrence of domestic accidents has not been sufficiently clarified.

scholarly journals How 6 Organizations Developed Tools and Processes for Social Determinants of Health Screening in Primary Care

2018 ◽  
Vol 41 (1) ◽  
pp. 2-14 ◽  
Author(s):  
Kate LaForge ◽  
Rachel Gold ◽  
Erika Cottrell ◽  
Arwen E. Bunce ◽  
Michelle Proser ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Screening ◽  
Determinants Of Health

scholarly journals Measuring social determinants of health and their impact on service use and medical complexity

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dan Chateau ◽  
Alan Katz ◽  
Chelsey McDougall ◽  
Carole Taylor ◽  
Scott McCulloch
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Complexity ◽  
Primary Care Providers ◽  
Determinants Of Health ◽  
Care Providers ◽  
Complex Patients ◽  
Medical Complexity

IntroductionPopulation based data on the social determinants of health are not widely available, despite a wide body of evidence pointing to their importance. The Mantioba Population Research Data Repository offers a unique opportunity to leverage data from multiple government departments to assess the relationship between measurable social determinants and health. Objectives and ApproachUsing population based data from health, small area level census survey questions, social assisitance, education, social housing, child protective services and justice, linked at the individual level, we measured indicators of social complexity and mapped them in the province of Manitoba. Individuals with high level of social complexity were then compared with indicators of medical complexity and/or high use of medical services to determine the degree of overlap between these attributes of individuals. A matched group of individuals without any of the measured social complexities was developed and the number and reason for visits to primary care providers was compared. ResultsThe rate of individuals having three or more social complexities varied from a low of ~7% to a high of 35%, depending on the geographic location. High residential mobiity, involvement with the justice system and history of social assistance were the most frequent (>15%). Individuals with social complexities tended to be younger and live in poorer neighbourhoods than medically complex individuals or high users of health services. Socially complex persons had on average 5.5 primary care visits annually, compared to only ~3.5 for matched individuals with no social complexities. The overlap with high users of health services was slight (14.4%) and depended on the characteristics of the population. The overlap with medically complex patients ws higher (16.2%), particularly when medical complexity included mental health related diagnoses (20.4%). Conclusion/ImplicationsThe proportion of individuals with social complexities is large, and a substantial number have multiple risk factors. These individuals are for the most part a unique group, distinct from medically complex patients. Different strategies for care may be necessary to promote and sustain mental and physical health and wellbeing.

scholarly journals A logic framework for evaluating social determinants of health interventions in primary care

2019 ◽  
Vol 3 ◽  
pp. 23-23
Author(s):  
Steven S. Coughlin ◽  
Paul Mann ◽  
Marlo Vernon ◽  
Lufei Young ◽  
Deepak Ayyala ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Interventions ◽  
Determinants Of Health

Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care

Medical Care ◽  
2019 ◽  
Vol 57 ◽  
pp. S133-S139 ◽  
Author(s):  
Pablo Buitron de la Vega ◽  
Stephanie Losi ◽  
Linda Sprague Martinez ◽  
Allison Bovell-Ammon ◽  
Arvin Garg ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Referral System
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