• J Am Board Fam Med · Aug 2024

    Adjusting Clinical Plans Based on Social Context.

    • Emilia H De Marchis, Benjamin Aceves, Na'amah Razon, Chang WeirRosyRFrom the Department of Family & Community Medicine, University of California, San Francisco (EHD, LMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR, Michelle Jester, and Laura M Gottlieb.
    • From the Department of Family & Community Medicine, University of California, San Francisco (EHD, LMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); America's Health Insurance Plans, Washington, DC (MJ). emilia.demarchis@ucsf.edu.
    • J Am Board Fam Med. 2024 Aug 14; 37 (3): 466478466-478.

    BackgroundSocial risk data collection is expanding in community health centers (CHCs). We explored clinicians' practices of adjusting medical care based on their awareness of patients' social risk factors-that is, changes they make to care plans to mitigate the potential impacts of social risk factors on their patients' care and health outcomes-in a set of Texas CHCs.MethodsConvergent mixed methods. Surveys/interviews explored clinician perspectives on adjusting medical care based on patient social risk factors. Survey data were analyzed with descriptive statistics; interviews were analyzed using thematic analysis and inductive coding.ResultsAcross 4 CHCs, we conducted 15 clinician interviews and collected 97 surveys. Interviews and surveys overall indicated support for adjustment activities. Two main themes emerged: 1) clinicians reported making frequent adjustments to patient care plans based on their awareness of patients' social contexts, while simultaneously expressing concerns about adjustment; and 2) awareness of patients' social risk factors, and clinician time, training, and experience all influenced clinician adjustments.ConclusionsClinicians at participating CHCs described routinely adjusting patient care plans based on their patients' social contexts. These adjustments were being made without specific guidelines or training. Standardization of adjustments may facilitate the contextualization of patient care through shared decision making to improve outcomes.© Copyright 2024 by the American Board of Family Medicine.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…