Physicians and Social Determinants of Health

Brochier, Annelise; Messmer, Emily; Garg, Arvin

doi:10.1001/jama.2020.12106

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Though some argue that social determinants of health are beyond the scope of practice for individual clinicians, 25 our study demonstrates that patients look to healthcare providers to provide guidance for problems related to the social context of health, both at a system- and clinician-level. 26 While clinicians can take more active roles in stewarding resources and referring patients to supportive services in cases of financial strain, 27 more durable policy interventions must also be explored. Increased federal investment in high-quality, interdisciplinary care for COVID-19 survivors, including specialized recovery clinics, 28 could improve care delivery, provide support for vulnerable patients, promote rapid knowledge acquisition of mechanisms behind long COVID, and facilitate intervention development.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perspectives on Life and Recovery 1 Year After COVID-19 Hospitalization

et al. 2023

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Background Many patients hospitalized for COVID-19 experience prolonged symptoms months after discharge. Little is known abou t patients’ personal experiences recovering from COVID-19 in the United States (US), where medically underserved populations are at particular risk of adverse outcomes. Objective To explore patients’ perspectives on the impact of COVID-19 hospitalization and barriers to and facilitators of recovery 1 year after hospital discharge in a predominantly Black American study population with high neighborhood-level socioeconomic disadvantage. Design Qualitative study utilizing individual, semi-structured interviews. Participants Adult patients hospitalized for COVID-19 approximately 1 year after discharge home who were engaged in a COVID-19 longitudinal cohort study. Approach The interview guide was developed and piloted by a multidisciplinary team. Interviews were audio-recorded and transcribed. Data were coded and organized into discrete themes using qualitative content analysis with constant comparison techniques. Key Results Of 24 participants, 17 (71%) self-identified as Black, and 13 (54%) resided in neighborhoods with the most severe neighborhood-level socioeconomic disadvantage. One year after discharge, participants described persistent deficits in physical, cognitive, or psychological health that impacted their current lives. Repercussions included financial suffering and a loss of identity. Participants reported that clinicians often focused on physical health over cognitive and psychological health, an emphasis that posed a barrier to recovering holistically. Facilitators of recovery included robust financial or social support systems and personal agency in health maintenance. Spirituality and gratitude were common coping mechanisms. Conclusions Persistent health deficits after COVID-19 resulted in downstream consequences in participants’ lives. Though participants received adequate care to address physical needs, many described persistent unmet cognitive and psychological needs. A more comprehensive understanding of barriers and facilitators for COVID-19 recovery, contextualized by specific healthcare and socioeconomic needs related to socioeconomic disadvantage, is needed to better inform intervention delivery to patients that experience long-term sequelae of COVID-19 hospitalization. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-023-08246-9.

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Section: Discussionmentioning

confidence: 99%

Patients’ Perspectives on Life and Recovery 1 Year After COVID-19 Hospitalization

et al. 2023

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“…In other words, social conditions account for the differences in individual and public health. The social determinants of health are particularly significant in understanding children’s health: pediatric guidelines have recognized the role of adverse social determinants of health for over 25 years [ 16 ]. COVID-19 caused a significant public health issue in Canada (and globally), but the impact of the pandemic on individuals and communities must be understood in a socio-cultural context.…”

Section: Introductionmentioning

confidence: 99%

Super-Spreaders or Victims of Circumstance? Childhood in Canadian Media Reporting of the COVID-19 Pandemic: A Critical Content Analysis

et al. 2022

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This qualitative research study, a critical content analysis, explores Canadian media reporting of childhood in Canada during the COVID-19 global pandemic. Popular media plays an important role in representing and perpetuating the dominant social discourse in highly literate societies. In Canadian media, the effects of the pandemic on children and adolescents’ health and wellbeing are overshadowed by discussions of the potential risk they pose to adults. The results of this empirical research highlight how young people in Canada have been uniquely impacted by the COVID-19 global pandemic. Two dominant narratives emerged from the data: children were presented “as a risk” to vulnerable persons and older adults and “at risk” of adverse health outcomes from contracting COVID-19 and from pandemic lockdown restrictions. This reflects how childhood was constructed in Canadian society during the pandemic, particularly how children’s experiences are described in relation to adults. Throughout the pandemic, media reports emphasized the role of young people’s compliance with public health measures to prevent the spread of COVID-19 and save the lives of older persons.

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“…As outlined in the WHO's 2008, Global Commission on the Social Determinants of Health, public health must be understood in terms of the broader social conditions and systems which create health inequities. With regard to children's health, pediatric guidelines have recognized the role of social determinants of health for over 25 years (Brochier et al, 2020). Effectively, the COVID-19 pandemic should be evaluated from this perspective, just as childhood must be understood in cultural context, given that, "childhoods across cultures vary dramatically in content and experience" (Chin, 2003, p.309).…”

Section: Introductionmentioning

confidence: 99%

Roots, Rights and Risk: Canada, Childhood and the COVID-19 Global Pandemic.

et al. 2021

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The COVID-19 global pandemic highlights pre-existing inequities as well as the challenge of ensuring the protection of children’s human rights in countries like Canada that have ratified the United Nations Convention on the Rights of the Child. SARS-CoV-2, referred to as the 2019 novel Coronavirus disease or COVID-19, presents a significant threat to public health. Although children are considered to be low risk of contracting, spreading, and serious complications of the disease, are considerably impacted by COVID-19 government-sanctioned distancing measures. COVID-19 is a persistent public health threat, thus, the long-term consequences are largely unknown. This qualitative research study, a content analysis of online Canadian media reports of COVID-19 and children, engaged transdisciplinary social justice methodology, social constructions of childhood at the intersection of race, socio-economic status, gender, and disability. The findings suggest COVID-19 reinforces the impact of social exclusion and economic disparity on equity-seeking young people and families in Canada.

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Physicians and Social Determinants of Health

Cited by 4 publications

References 5 publications

Patients’ Perspectives on Life and Recovery 1 Year After COVID-19 Hospitalization

Patients’ Perspectives on Life and Recovery 1 Year After COVID-19 Hospitalization

Super-Spreaders or Victims of Circumstance? Childhood in Canadian Media Reporting of the COVID-19 Pandemic: A Critical Content Analysis

Roots, Rights and Risk: Canada, Childhood and the COVID-19 Global Pandemic.

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