Identifying and addressing social determinants of health in the primary care clinical training environment: A survey of the landscape

Aaron Parzuchowski, Katherine Wright, Dawid Lipiszko, Andrew J. Cooper, Stephen D. Persell, Paul A. Ravenna, Wivine Ngongo, Matthew J. O’brien, Mita Sanghavi Goel

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. This study surveyed the use of systematic strategies to address social determinants of health in the primary care clinical training environment. Methods. We designed a 51-item questionnaire targeting medical educators from internal medicine, pediatrics, and family practice to assess strategies to identify and mitigate social needs, the role of trainees in this process, and barriers/facilitators to systematic approaches. Results. The survey was completed by 104 medical educators from 77 institutions. Of the 104 respondents, 28% were not familiar with any standardized tools used for screening for social needs, 27% use geospatial (GIS) or geographic information system (GIG) data, and 35% reported that trainees were not involved in any part of assisting. Conclusion. Nearly one third of medical educators lack familiarity with standardized screening tools for social needs. More than one third reported that trainees are not involved with mitigating social needs. Geospatial and GIS data are not utilized frequently.

Original languageEnglish (US)
Pages (from-to)306-319
Number of pages14
JournalJournal of health care for the poor and underserved
Volume31
Issue number4
StatePublished - Nov 2020

Keywords

  • Geographic information systems
  • Medical education
  • Social determinants of health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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