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Interventions to address the social determinants of health in primary care settings

Hosack, Emma (2021) Interventions to address the social determinants of health in primary care settings. Master Essay, University of Pittsburgh.

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Abstract

Social determinants of health (SDOH) are conditions in the environment of individuals’ lives that impact their health, such as where they live, their socioeconomic status, and their access to education. These factors contribute meaningfully to health and can explain a significant portion of disease burden, but they have not traditionally been addressed within healthcare settings. However, a growing understanding of the negative health outcomes associated with SDOH factors has led some health systems and providers to implement interventions within healthcare settings in order to address these issues in patients’ lives.
The purpose of this research was to produce a critical literature synthesis of interventions to address the SDOH in primary care settings. While this topic is being focused on more by health systems and providers, there was a need for a comprehensive review of interventions that are being implemented specifically within primary care. This research is significant to public health because intervention to address the SDOH in patients’ lives and communities is essential to accomplish the public health aims of disease prevention and health promotion.
A literature search was conducted within the PubMed and Scopus databases and 11 relevant interventions were reviewed. These interventions covered the SDOH-related factors of food insecurity, transportation, unmet legal needs, and interventions that were designed to address multiple factors at once. Interventions fell into two main types: those that involved the direct provision of a good or service and those that involved patient consultation with an individual trained to help them meet their SDOH needs. Based on the interventions reviewed, recommendations for future practice in primary care are discussed. These recommendations include collocating staff who specialize in the SDOH in the primary care office, creating strong relationships between primary care practices and community partners, and that primary care providers engage in advocacy to address the SDOH at structural levels.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Hosack, Emmaemh146@pitt.eduemh146
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairGarland, RichardRIG11@pitt.eduRIG11UNSPECIFIED
Committee MemberCole, Evanevancole@pitt.eduevancoleUNSPECIFIED
Date: 10 February 2021
Date Type: Completion
Number of Pages: 73
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 10 Feb 2021 16:06
Last Modified: 10 Feb 2021 16:06
URI: http://d-scholarship.pitt.edu/id/eprint/39402

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