Investigating Social Determinants of Health in an Urban Direct Primary Care Clinic
| Autor: | Shereen J Jeyakumar, Leila C Tou, Nirmala Prakash, Srekar Ravi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
prapare media_common.quotation_subject Participatory action research 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Social integration Health care Medicine Social determinants of health direct primary care Socioeconomic status reproductive and urinary physiology media_common business.industry General Engineering internal medicine Epidemiology/Public Health social determinants of health Family medicine embryonic structures Cohort Unemployment Descriptive research business Family/General Practice 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.10791 |
| Popis: | Direct primary care (DPC) is an emerging model of care distinguished by lower price points for quality comprehensive services. The affordability of DPC attracts a broad patient population that may encompass a wide range of socioeconomic needs. It is critical to identify social determinants of health (SDH) in DPC practices to design strategies aimed to mitigate social risk factors, especially for vulnerable populations that can only afford DPC. As part of this SDH screening initiative, the purpose of the present descriptive study was to assess the SDH characteristics of patients from an urban DPC clinic. To identify these SDH factors, a cohort of 31 patients from the DPC clinic was asked to complete a questionnaire from the Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE). The survey outcomes revealed top socioeconomic needs in the domains of stress (77.4%), insurance (51.6%), social integration and support (38.7%), unmet medicine or healthcare needs (35.5%), and unemployment (32.2%). In adopting a community-based participatory research (CBPR) approach, the research team shared the survey outcomes with the DPC clinic to facilitate improvements in overall patient care and implementation of services aimed to address social risk factors as identified in the study. |
| Databáze: | OpenAIRE |
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