102 lines
3.4 KiB
YAML
102 lines
3.4 KiB
YAML
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'
|