104 lines
3.5 KiB
YAML
104 lines
3.5 KiB
YAML
abstract: 'Background: Poverty is widely recognized as a major determinant of poor
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health, and this link has been extensively studied and verified. Despite
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the strong evidentiary link, little work has been done to determine what
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primary care health providers can do to address their patients'' income
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as a risk to their health. This qualitative study explores the barriers
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to primary care responsiveness to poverty as a health issue in a
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well-resourced jurisdiction with near-universal health care insurance
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coverage.
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Methods: One to one interviews were conducted with twelve experts on
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poverty and health in primary care in Ontario, Canada. Participants
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included family physicians, specialist physicians, nurse practitioners,
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community workers, advocates, policy experts and researchers. The
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interviews were analysed for anticipated and emergent themes.
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Results: This study reveals provider-and patient-centred structural,
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attitudinal, and knowledge-based barriers to addressing poverty as a
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risk to health. While many of its findings reinforce previous work in
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this area, this study''s findings point to a number of areas front line
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primary care providers could target to address their patients'' poverty.
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These include a lack of provider understanding of the lived reality of
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poverty, leading to a failure to collect adequate data about patients''
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social circumstances, and to the development of inappropriate care
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plans. Participants also pointed to prejudicial attitudes among
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providers, a failure of primary care disciplines to incorporate
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approaches to poverty as a standard of care, and a lack of knowledge of
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concrete steps providers can take to address patients'' poverty.
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Conclusions: While this study reinforces, in a well-resourced
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jurisdiction such as Ontario, the previously reported existence of
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significant barriers to addressing income as a health issue within
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primary care, the findings point to the possibility of front line
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primary care providers taking direct steps to address the health risks
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posed by poverty. The consistent direction and replicability of these
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findings point to a refocusing of the research agenda toward an
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examination of interventions to decrease the health impacts of poverty.'
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affiliation: 'Bloch, G (Corresponding Author), St Michaels Hosp, Dept Family \& Community
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Med, 80 Bond St, Toronto, ON M5B 1X2, Canada.
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Bloch, Gary, St Michaels Hosp, Dept Family \& Community Med, Toronto, ON M5B 1X2,
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Canada.
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Bloch, Gary, Univ Toronto, Fac Med, Dept Family \& Community Med, Toronto, ON, Canada.
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Giambrone, Broden, Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.'
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article-number: '62'
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author: Bloch, Gary and Rozmovits, Linda and Giambrone, Broden
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author-email: gary.bloch@utoronto.ca
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author_list:
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- family: Bloch
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given: Gary
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- family: Rozmovits
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given: Linda
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- family: Giambrone
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given: Broden
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da: '2023-09-28'
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doi: 10.1186/1471-2296-12-62
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eissn: 1471-2296
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files: []
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journal: BMC FAMILY PRACTICE
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keywords-plus: GENERAL-PRACTICE
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language: English
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month: JUN 29
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number-of-cited-references: '24'
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papis_id: d61dc88ededf995aa1d396bea0a2b70e
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ref: Bloch2011barriersprimary
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times-cited: '56'
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title: Barriers to primary care responsiveness to poverty as a risk factor for health
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type: article
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unique-id: WOS:000292681500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '22'
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volume: '12'
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web-of-science-categories: Primary Health Care; Medicine, General \& Internal
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year: '2011'
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