Determinants of health and pediatric primary care practices

Andrew F. Beck, Megan M. Tschudy, Tumaini R. Coker, Kamila B. Mistry, Joanne E. Cox, Benjamin A. Gitterman, Lisa J. Chamberlain, Aimee M. Grace, Michael K. Hole, Perri Klass, Katherine S. Lobach, Christine T. Ma, Dipesh Navsaria, Kimberly D. Northrip, Matthew D. Sadof, Anita N. Shah, Arthur H. Fierman

    Research output: Contribution to journalArticle

    Abstract

    More than 20% of children nationally live in poverty. Pediatric primary care practices are critical points-of-contact for these patients and their families. Practices must consider risks that are rooted in poverty as they determine how to best deliver family-centered care and move toward action on the social determinants of health. The Practice-Level Care Delivery Subgroup of the Academic Pediatric Association's Task Force on Poverty has developed a roadmap for pediatric providers and practices to use as they adopt clinical practice redesign strategies aimed at mitigating poverty's negative impact on child health and well-being. The present article describes how care structures and processes can be altered in ways that align with the needs of families living in poverty. Attention is paid to both facilitators of and barriers to successful redesign strategies. We also illustrate how such a roadmap can be adapted by practices depending on the degree of patient need and the availability of practice resources devoted to intervening on the social determinants of health. In addition, ways in which practices can advocate for families in their communities and nationally are identified. Finally, given the relative dearth of evidence for many poverty-focused interventions in primary care, areas that would benefit from more in-depth study are considered. Such a focus is especially relevant as practices consider how they can best help families mitigate the impact of povertyrelated risks in ways that promote long-term health and well-being for children.

    Original languageEnglish (US)
    Article numbere20153673
    JournalPediatrics
    Volume137
    Issue number3
    DOIs
    StatePublished - Mar 1 2016

    Fingerprint

    Poverty
    Primary Health Care
    Pediatrics
    Social Determinants of Health
    Advisory Committees
    Child Welfare
    Primary Care
    Health

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Medicine(all)
    • Arts and Humanities (miscellaneous)

    Cite this

    Beck, A. F., Tschudy, M. M., Coker, T. R., Mistry, K. B., Cox, J. E., Gitterman, B. A., ... Fierman, A. H. (2016). Determinants of health and pediatric primary care practices. Pediatrics, 137(3), [e20153673]. https://doi.org/10.1542/peds.2015-3673

    Determinants of health and pediatric primary care practices. / Beck, Andrew F.; Tschudy, Megan M.; Coker, Tumaini R.; Mistry, Kamila B.; Cox, Joanne E.; Gitterman, Benjamin A.; Chamberlain, Lisa J.; Grace, Aimee M.; Hole, Michael K.; Klass, Perri; Lobach, Katherine S.; Ma, Christine T.; Navsaria, Dipesh; Northrip, Kimberly D.; Sadof, Matthew D.; Shah, Anita N.; Fierman, Arthur H.

    In: Pediatrics, Vol. 137, No. 3, e20153673, 01.03.2016.

    Research output: Contribution to journalArticle

    Beck, AF, Tschudy, MM, Coker, TR, Mistry, KB, Cox, JE, Gitterman, BA, Chamberlain, LJ, Grace, AM, Hole, MK, Klass, P, Lobach, KS, Ma, CT, Navsaria, D, Northrip, KD, Sadof, MD, Shah, AN & Fierman, AH 2016, 'Determinants of health and pediatric primary care practices', Pediatrics, vol. 137, no. 3, e20153673. https://doi.org/10.1542/peds.2015-3673
    Beck AF, Tschudy MM, Coker TR, Mistry KB, Cox JE, Gitterman BA et al. Determinants of health and pediatric primary care practices. Pediatrics. 2016 Mar 1;137(3). e20153673. https://doi.org/10.1542/peds.2015-3673
    Beck, Andrew F. ; Tschudy, Megan M. ; Coker, Tumaini R. ; Mistry, Kamila B. ; Cox, Joanne E. ; Gitterman, Benjamin A. ; Chamberlain, Lisa J. ; Grace, Aimee M. ; Hole, Michael K. ; Klass, Perri ; Lobach, Katherine S. ; Ma, Christine T. ; Navsaria, Dipesh ; Northrip, Kimberly D. ; Sadof, Matthew D. ; Shah, Anita N. ; Fierman, Arthur H. / Determinants of health and pediatric primary care practices. In: Pediatrics. 2016 ; Vol. 137, No. 3.
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