wow-inequalities/02-data/intermediate/wos_sample/2e07b17cfe14cff9a95898460c7ee4bb-bloch-gary-and-rozm/info.yaml

abstract: 'Background: Poverty is widely recognized as a major determinant of poor

  health, and this link has been extensively studied and verified. Despite

  the strong evidentiary link, little work has been done to determine what

  primary care health providers can do to address their patients'' income

  as a risk to their health. This qualitative study explores the barriers

  to primary care responsiveness to poverty as a health issue in a

  well-resourced jurisdiction with near-universal health care insurance

  coverage.

  Methods: One to one interviews were conducted with twelve experts on

  poverty and health in primary care in Ontario, Canada. Participants

  included family physicians, specialist physicians, nurse practitioners,

  community workers, advocates, policy experts and researchers. The

  interviews were analysed for anticipated and emergent themes.

  Results: This study reveals provider-and patient-centred structural,

  attitudinal, and knowledge-based barriers to addressing poverty as a

  risk to health. While many of its findings reinforce previous work in

  this area, this study''s findings point to a number of areas front line

  primary care providers could target to address their patients'' poverty.

  These include a lack of provider understanding of the lived reality of

  poverty, leading to a failure to collect adequate data about patients''

  social circumstances, and to the development of inappropriate care

  plans. Participants also pointed to prejudicial attitudes among

  providers, a failure of primary care disciplines to incorporate

  approaches to poverty as a standard of care, and a lack of knowledge of

  concrete steps providers can take to address patients'' poverty.

  Conclusions: While this study reinforces, in a well-resourced

  jurisdiction such as Ontario, the previously reported existence of

  significant barriers to addressing income as a health issue within

  primary care, the findings point to the possibility of front line

  primary care providers taking direct steps to address the health risks

  posed by poverty. The consistent direction and replicability of these

  findings point to a refocusing of the research agenda toward an

  examination of interventions to decrease the health impacts of poverty.'
affiliation: 'Bloch, G (Corresponding Author), St Michaels Hosp, Dept Family \& Community
  Med, 80 Bond St, Toronto, ON M5B 1X2, Canada.

  Bloch, Gary, St Michaels Hosp, Dept Family \& Community Med, Toronto, ON M5B 1X2,
  Canada.

  Bloch, Gary, Univ Toronto, Fac Med, Dept Family \& Community Med, Toronto, ON, Canada.

  Giambrone, Broden, Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.'
article-number: '62'
author: Bloch, Gary and Rozmovits, Linda and Giambrone, Broden
author-email: gary.bloch@utoronto.ca
author_list:
- family: Bloch
  given: Gary
- family: Rozmovits
  given: Linda
- family: Giambrone
  given: Broden
da: '2023-09-28'
doi: 10.1186/1471-2296-12-62
eissn: 1471-2296
files: []
journal: BMC FAMILY PRACTICE
keywords-plus: GENERAL-PRACTICE
language: English
month: JUN 29
number-of-cited-references: '24'
papis_id: d61dc88ededf995aa1d396bea0a2b70e
ref: Bloch2011barriersprimary
times-cited: '56'
title: Barriers to primary care responsiveness to poverty as a risk factor for health
type: article
unique-id: WOS:000292681500001
usage-count-last-180-days: '0'
usage-count-since-2013: '22'
volume: '12'
web-of-science-categories: Primary Health Care; Medicine, General \& Internal
year: '2011'