2016
DOI: 10.1370/afm.1918
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Theory vs Practice: Should Primary Care Practice Take on Social Determinants of Health Now? No.

Abstract: 102R ecently, the recognition that medical care may contribute less to overall health than other aspects of people's lives do has led policy makers, academics, and even some physicians to argue that clinicians should make screening and action on the social determinants of health their responsibility. Although such an expectation is understandable, the additional requirements (that will fall largely on primary care) are likely to have serious unintended consequences and be unlikely to produce the hopedfor benef… Show more

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Cited by 49 publications
(47 citation statements)
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“…32 At the same time, requiring providers to screen and provide social needs referrals on a routine basis could also increase provider burnout by adding yet one more requirement to already full schedules. 33,34 The field would benefit from studies that investigate how social needs interventions impact provider and staff burnout and turnover.…”
Section: Reduced Provider Burnoutmentioning
confidence: 99%
“…32 At the same time, requiring providers to screen and provide social needs referrals on a routine basis could also increase provider burnout by adding yet one more requirement to already full schedules. 33,34 The field would benefit from studies that investigate how social needs interventions impact provider and staff burnout and turnover.…”
Section: Reduced Provider Burnoutmentioning
confidence: 99%
“…Tobacco counseling competes with treatment of acute symptoms, management of multiple chronic diseases, and other preventive services, as well as suggestions to integrate clinical practice with community health organizations and to coordinate with community health workers to address patients' social determinants of health. [11][12][13][14][15][16][17][18][19][20] Yarnall and colleagues estimated that a physician with a panel of 2,500 patients would need 7.4 hours per day to deliver evidence-based preventive services 21 and as many as 10.6 hours to provide disease management for chronic conditions. 22 Though Altschuler et al estimated that a physician could care for a panel of 2,000 patients with the maximum feasible delegation of preventive services and chronic disease care to other primary care team members, 23 that level of delegation may be a long time coming.…”
Section: Introductionmentioning
confidence: 99%
“…510 It remains particularly unclear whether such social determinants contribute to avoidable short-term healthcare costs, such that payers should expect to reduce short-term healthcare expenditures through such initiatives. 11 …”
Section: Introductionmentioning
confidence: 99%