2023-09-28 14:46:10 +00:00
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abstract: 'Purpose: Public health leaders have advocated for clinical and
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population-based interventions to address the social determinants of
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health (SDoH). The American Academy of Family Physicians has worked to
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support family physicians with addressing the SDoH. However, the extent
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that family physicians are engaged and the factors that influence this
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are unknown. Methods: A survey was used to identify actions family
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physicians had taken to address the SDoH and perceived barriers.
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Physician and community characteristics were linked. Ordinal logistic
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regression was used to identify factors associated with engagement in
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clinical and population-based actions, separately. Results: There were
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434 (8.7\%) responses. Among respondents, 81.1\% were engaged in at
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least one clinical action, and 43.3\% were engaged in at least one
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population-based action. Time (80.0\%) and staffing (64.5\%) were the
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most common barriers. Physician experience was associated with higher
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levels of clinical engagement, lower median household income was
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associated with higher levels of population-based engagement, and
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working for a federally qualified health center (FQHC) was associated
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with both. Conclusions: The study provides preliminary information
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suggesting that family physicians are engaged in addressing the SDoH
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through clinical and population-based actions. Newer family physicians
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and those working in FQHCs may be good targets for piloting clinical
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actions to address SDoH and family physician advocates may be more
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likely to come from an FQHC or in a lower socioeconomic neighborhood.
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The study also raises questions about the value family physicians
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serving disadvantaged communities place on clinical interventions to
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address the SDoH.'
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affiliation: 'Kovach, KA (Corresponding Author), Amer Acad Family Phys, 11400 Tomahawk
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Creek Pkwy, Leawood, KS 66211 USA.
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Kovach, Kevin A.; Reid, Kathy; Jones, Danielle; Wood, Julie; Schoof, Bellinda, Amer
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Acad Family Phys, 11400 Tomahawk Creek Pkwy, Leawood, KS 66211 USA.
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Grandmont, Jene, Amer Acad Family Phys, HealthLandscape, Cincinnati, OH USA.'
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author: Kovach, Kevin A. and Reid, Kathy and Grandmont, Jene and Jones, Danielle and
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Wood, Julie and Schoof, Bellinda
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author-email: kkovach@aafp.org
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author_list:
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- family: Kovach
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given: Kevin A.
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- family: Reid
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given: Kathy
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- family: Grandmont
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given: Jene
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- family: Jones
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given: Danielle
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- family: Wood
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given: Julie
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- family: Schoof
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given: Bellinda
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da: '2023-09-28'
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doi: 10.1089/heq.2019.0022
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eissn: 2473-1242
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files: []
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journal: HEALTH EQUITY
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keywords: social determinants of health; family physician; health equity
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keywords-plus: COMMUNITY-VITAL-SIGNS; PRIMARY-CARE; FRAMEWORK
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language: English
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number: '1'
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number-of-cited-references: '53'
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orcid-numbers: Jones PhD MPH, Danielle D/0000-0002-2526-9861
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pages: 449-457
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papis_id: d4809585d49f0fcc19a3f4a3e112bba9
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ref: Kovach2019howengaged
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researcherid-numbers: 'Kovach, Kevin/Y-1110-2019
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'
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times-cited: '13'
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title: How Engaged Are Family Physicians in Addressing the Social Determinants of
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Health? A Survey Supporting the American Academy of Family Physician's Health Equity
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Environmental Scan
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000616286600060
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '3'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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