Progress towards using community context with clinical data in primary care

Angier, Heather; Jacobs, Elizabeth A.; Huguet, Nathalie; Likumahuwa-Ackman, Sonja; Robert, Stephanie A.; DeVoe, Jennifer E.

doi:10.1136/fmch-2018-000028

Cited by 3 publications

(2 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent papers described the responsibility of public health teams for addressing social determinants 9–11. According to many national organisations, general practice may have a positive impact on health inequalities through clinical care, and community and political engagements 10 12. Moreover, several recommendations are rightly advocating social prescriptions as an important way to expand the options available for GPs to provide individualised care 13 14.…”

Section: Introductionmentioning

confidence: 99%

“…A recent Canadian report recommends to act at the patient, practice and community levels with some specific measures (including the use of clinical flags, or patient’s navigator) 11. Recent changes in American and English healthcare policy have also presented opportunities for a paradigm shift in primary care delivery, including the integration of social determinants of health (SDH) data into electronic health records 12 13 15 16…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How French general practitioners adapt their care to patients with social difficulties?

Oliveira¹,

Chavannes²,

Steinecker³

et al. 2019

Fam Med Com Health

View full text Add to dashboard Cite

ObjectiveSeveral studies have shown the role of the primary care system in access to care and in reducing social inequalities in health. The objective of this study was to describe the practices of general practitioners (GPs) in taking into account the social environment of their patient, and the ways they adapted to social difficulties.DesignQualitative study comprising interviews and focus groups.SettingFrench primary care settings.ParticipantsTwenty semistructured interviews and two focus groups were conducted with 33 GPs. Sessions were audio recorded, transcribed verbatim and analysed using thematic analysis. The reporting of findings was guided by consolidated criteria for reporting qualitative research.ResultThis study identified adaptations at three levels: in the individual management of patients (alert system, full involvement in prevention, better communication, prioritised additional examinations, financial facilities, help in administrative tasks), in the collective management of patients in an office (consultation without appointment, pay-for-performance indicators, medical staffs, multidisciplinary protocols, medical practice in group, medical student), and in the community management (patients description, cooperation with associations, public health sector and politics).ConclusionIn France, GPs can take into account the social determinants of health in practice through simple or more complex actions.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How French general practitioners adapt their care to patients with social difficulties?

Oliveira¹,

Chavannes²,

Steinecker³

et al. 2019

Fam Med Com Health

View full text Add to dashboard Cite

show abstract

The Envirome Web Service: Patient context at the point of care

Kane

Wang

Gerkovich

et al. 2021

Journal of Biomedical Informatics

View full text Add to dashboard Cite

Child Opportunity Index and Rehospitalization for Ambulatory Care Sensitive Conditions at US Children’s Hospitals

Parikh,

Lopez,

Hall

et al. 2023

Hospital Pediatrics

View full text Add to dashboard Cite

OBJECTIVE: Child Opportunity Index (COI) measures neighborhood contextual factors (education, health and environment, social and economic) that may influence child health. Such factors have been associated with hospitalizations for ambulatory care sensitive conditions (ACSC). Lower COI has been associated with higher health care utilization, yet association with rehospitalization(s) for ACSC remains unknown. Our objective is to determine the association between COI and ACSC rehospitalizations. METHODS: Multicenter retrospective cohort study of children ages 0 to 17 years with a hospital admission for ambulatory care sensitive conditions in 2017 or 2018. Exposure was COI. Outcome was rehospitalization within 1 year of index admission (analyzed as any or ≥2 rehospitalization) for ACSC. Logistic regression models adjusted for age, sex, severity, and complex and mental health conditions. RESULTS: The study included 184 478 children. Of hospitalizations, 28.3% were by children from very low COI and 16.5% were by children from very high COI neighborhoods. In risk-adjusted models, ACSC rehospitalization was higher for children from very low COI than very high COI neighborhoods; any rehospitalization occurred for 18.7% from very low COI and 13.5% from very high COI neighborhoods (adjusted odds ratio 1.14 [1.05–1.23]), whereas ≥2 rehospitalization occurred for 4.8% from very low COI and 3.2% from very high COI neighborhoods (odds ratio 1.51 [1.29–1.75]). CONCLUSIONS: Children from neighborhoods with low COI had higher rehospitalizations for ACSCs. Further research is needed to understand how hospital systems can address social determinants of health in the communities they serve to prevent rehospitalizations.

show abstract

Progress towards using community context with clinical data in primary care

Cited by 3 publications

References 41 publications

How French general practitioners adapt their care to patients with social difficulties?

How French general practitioners adapt their care to patients with social difficulties?

The Envirome Web Service: Patient context at the point of care

Child Opportunity Index and Rehospitalization for Ambulatory Care Sensitive Conditions at US Children’s Hospitals

Contact Info

Product

Resources

About