How Dermatologists Can Address the Structural and Social Determinants of Health—From Awareness to Action

Williams, Jazzmin; Amerson, Erin; Chang, Aileen Y.

doi:10.1001/jamadermatol.2021.5925

Cited by 12 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In recognition of the gap between understanding the role of social determinants in health and the ability to address these social needs in clinical settings, the National Academies of Sciences, Engineering, and Medicine recently published guidelines to integrate social care with health care delivery [ 42 ]. In this framework, addressing social factors begins with promoting awareness of social needs, followed by categorizing actions to address them at the level of the individual (adjustment and assistance) and the community (alignment and advocacy) (Table 1 ) [ 42 , 43 ]. This framework for action has already been adapted for dermatologists [ 43 ], hepatologists [ 44 ], internists [ 45 ], family physicians [ 46 ], and pediatricians [ 47 ].…”

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 99%

“…In this framework, addressing social factors begins with promoting awareness of social needs, followed by categorizing actions to address them at the level of the individual (adjustment and assistance) and the community (alignment and advocacy) (Table 1 ) [ 42 , 43 ]. This framework for action has already been adapted for dermatologists [ 43 ], hepatologists [ 44 ], internists [ 45 ], family physicians [ 46 ], and pediatricians [ 47 ]. In the same way, this framework to take action on social factors provides guidance for ophthalmologists to address social determinants of vision health.…”

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 99%

“… Modified from Integrating Social Care into the Delivery of Health Care [ 42 ], and Williams et al [ 43 ] …”

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 99%

See 2 more Smart Citations

Addressing Social Determinants of Vision Health

Williams

Sahel

2022

Ophthalmol Ther

View full text Add to dashboard Cite

Social determinants of health encompass the quality of an individual’s social and physical environment and its effect on health outcomes. Disparities in these social and environmental factors have a significant role in vision health disparities and inequity in eye care. In this review, we discuss how disparities in visual impairment and eye care utilization are affected by each of the five core domains of social determinants of health, namely economic stability (income, employment, and food security), education (education level and health literacy), health care access (insurance and medical costs), neighborhood environment (housing conditions, home ownership, pollution, and crime), and social context (race and racism). Moreover, we describe a framework by which ophthalmologists can take action to address social determinants of vision health. These actionable strategies are guided by recommendations from the National Academies of Sciences, Engineering, and Medicine and have five complementary components to address social needs: awareness (screening for social needs), assistance (connecting patients with social care resources), adjustment (altering clinical care in recognition of social needs), alignment (understanding social assets and collaborating with community organizations), and advocacy (promoting policies to address social needs). Addressing social determinants of health is complex but achievable through collaborative strategies. Ophthalmologists have an important leadership role in addressing eye care disparities by taking action on underlying social determinants of vision health.

show abstract

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 99%

Section: How Ophthalmologists Can Take Action To Address Social Needsmentioning

confidence: 99%

See 1 more Smart Citation

Addressing Social Determinants of Vision Health

Williams

Sahel

2022

Ophthalmol Ther

View full text Add to dashboard Cite

show abstract

“…Desde esta perspectiva, la dermatología social comu-nitaria responde, desde sus bases estructurales, a la necesidad de que el dermatólogo, formado y en formación, haga parte activa de su núcleo social, sea interventor de sus determinantes sociales y estructurales de la salud (14) , comprenda el significado de la comunidad y la sociedad y asuma una responsabilidad como parte activa de estas estructuras.…”

Section: Asegurar Soporte Institucional Público O Privado Solicitar I...unclassified

“…Respecto a los determinantes estructurales y sociales de la salud, se han agrupado en cinco grandes componentes: estabilidad económica, acceso y calidad de la educación, acceso y calidad de la atención médica, vecindario y entorno construido y contexto social y comunitario (14) . Estos determinantes pueden ser abordados por estrategias de acción social, en mayor o menor medida, por los dermatólogos o residentes de Dermatología.…”

Section: Asegurar Soporte Institucional Público O Privado Solicitar I...unclassified

Experiencia significativa: la dermatología social comunitaria como enfoque formativo

Hurtado

Posso-Garcia

Zuluaga

2022

rev. asoc. colomb. dermatol. cir. dematol.

View full text Add to dashboard Cite

El presente artículo aborda el concepto de la dermatología social comunitaria a partir de la experiencia significativa de formación en el programa de Especialización en Dermatología de la Universidad Libre de Cali y su relación con otras experiencias de la dermatología social en América Latina. Así mismo, resalta la importancia de abrir escenarios de formación para el trabajo con las poblaciones. En este sentido, se realizó una revisión de producción científica sobre dermatología social en el contexto de América Latina y se contrastó con la propuesta misional de la Universidad Libre de Cali. En última instancia, se presentan reflexiones y conclusiones encaminadas al reconocimiento de la pertinencia de la dermatología social y los importantes retos que se tienen en el contexto nacional para su divulgación, aplicación y reconocimiento.

show abstract

Patient Perspectives on Social Risk Screening and Documentation in a Dermatology Clinic

Wilkerson,

De Marchis,

Rudd

et al. 2023

JAMA Dermatol

Self Cite

View full text Add to dashboard Cite

ImportanceProviding person-centered dermatologic care includes consideration of social risk factors, such as housing instability and unreliable transportation, that may affect clinical management. Patients’ perspectives on social risk screening and documentation in dermatology clinics have not yet been evaluated.ObjectiveTo understand patients’ perspectives on social risk screening and documentation in a dermatology clinic.Design, Setting, and ParticipantsThis mixed-methods study used a survey and semistructured interviews and was conducted in a general dermatology clinic at a large urban public hospital. Patients at the clinic were eligible to complete the survey if they were 18 years or older; able to speak and read English, Spanish, or Cantonese; and comfortable using a computer tablet. Survey participants who preferred to use English were eligible for interviews. The survey included social risk screening questions, measures of acceptability, and questions on social risk factors associated with patient acceptability. Semistructured interviews were conducted to explore attitudes and beliefs about social risk screening and documentation. Survey and interview findings were integrated during data analysis through development of themes and joint display. Data were analyzed from December 2021 to April 2023.Main Outcomes and MeasuresThere were 2 outcome measures of acceptability: appropriateness of screening in a dermatology clinic and comfort with documentation of social risk in the electronic health record (EHR).ResultsA total of 135 participants (including 73 males [54.1%]) answered both measures of acceptability in the survey. Of these participants, 116 (85.9%) reported that social risk screening in their dermatology clinic was very or somewhat appropriate and 85 (63.0%) reported being completely or somewhat comfortable with having their social risks documented in the EHR. Themes that were developed from surveys and interviews were the (1) role of interpersonal factors in willingness to disclose social risks, (2) implications of institutional trust for willingness to disclose and comfort with documentation, and (3) relevance of screening in a dermatology clinic.Conclusions and RelevanceResults of this study showed that most participants found social risk screening to be appropriate in a dermatology clinic, although a smaller proportion of participants were comfortable with EHR documentation of their social risks. Optimizing patients’ trust in their physicians and the medical system, while addressing privacy and discrimination concerns, may help facilitate disclosure of social risks.

show abstract

How Dermatologists Can Address the Structural and Social Determinants of Health—From Awareness to Action

Cited by 12 publications

References 9 publications

Addressing Social Determinants of Vision Health

Addressing Social Determinants of Vision Health

Experiencia significativa: la dermatología social comunitaria como enfoque formativo

Patient Perspectives on Social Risk Screening and Documentation in a Dermatology Clinic

Contact Info

Product

Resources

About