abstract: 'Purpose: Public health leaders have advocated for clinical and

  population-based interventions to address the social determinants of

  health (SDoH). The American Academy of Family Physicians has worked to

  support family physicians with addressing the SDoH. However, the extent

  that family physicians are engaged and the factors that influence this

  are unknown. Methods: A survey was used to identify actions family

  physicians had taken to address the SDoH and perceived barriers.

  Physician and community characteristics were linked. Ordinal logistic

  regression was used to identify factors associated with engagement in

  clinical and population-based actions, separately. Results: There were

  434 (8.7\%) responses. Among respondents, 81.1\% were engaged in at

  least one clinical action, and 43.3\% were engaged in at least one

  population-based action. Time (80.0\%) and staffing (64.5\%) were the

  most common barriers. Physician experience was associated with higher

  levels of clinical engagement, lower median household income was

  associated with higher levels of population-based engagement, and

  working for a federally qualified health center (FQHC) was associated

  with both. Conclusions: The study provides preliminary information

  suggesting that family physicians are engaged in addressing the SDoH

  through clinical and population-based actions. Newer family physicians

  and those working in FQHCs may be good targets for piloting clinical

  actions to address SDoH and family physician advocates may be more

  likely to come from an FQHC or in a lower socioeconomic neighborhood.

  The study also raises questions about the value family physicians

  serving disadvantaged communities place on clinical interventions to

  address the SDoH.'
affiliation: 'Kovach, KA (Corresponding Author), Amer Acad Family Phys, 11400 Tomahawk
  Creek Pkwy, Leawood, KS 66211 USA.

  Kovach, Kevin A.; Reid, Kathy; Jones, Danielle; Wood, Julie; Schoof, Bellinda, Amer
  Acad Family Phys, 11400 Tomahawk Creek Pkwy, Leawood, KS 66211 USA.

  Grandmont, Jene, Amer Acad Family Phys, HealthLandscape, Cincinnati, OH USA.'
author: Kovach, Kevin A. and Reid, Kathy and Grandmont, Jene and Jones, Danielle and
  Wood, Julie and Schoof, Bellinda
author-email: kkovach@aafp.org
author_list:
- family: Kovach
  given: Kevin A.
- family: Reid
  given: Kathy
- family: Grandmont
  given: Jene
- family: Jones
  given: Danielle
- family: Wood
  given: Julie
- family: Schoof
  given: Bellinda
da: '2023-09-28'
doi: 10.1089/heq.2019.0022
eissn: 2473-1242
files: []
journal: HEALTH EQUITY
keywords: social determinants of health; family physician; health equity
keywords-plus: COMMUNITY-VITAL-SIGNS; PRIMARY-CARE; FRAMEWORK
language: English
number: '1'
number-of-cited-references: '53'
orcid-numbers: Jones PhD MPH, Danielle D/0000-0002-2526-9861
pages: 449-457
papis_id: d4809585d49f0fcc19a3f4a3e112bba9
ref: Kovach2019howengaged
researcherid-numbers: 'Kovach, Kevin/Y-1110-2019

  '
times-cited: '13'
title: How Engaged Are Family Physicians in Addressing the Social Determinants of
  Health? A Survey Supporting the American Academy of Family Physician's Health Equity
  Environmental Scan
type: Article
unique-id: WOS:000616286600060
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '3'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'