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Child Health Disparities: What Can a Clinician Do?
Tina L Cheng1, Mickey A Emmanuel2, Daniel J Levy3
1Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Population, Family, and Reproductive Health, Bloomberg School of Public Health, Baltimore, Maryland; tcheng2@jhmi.edu.
Pediatric clinicians can address health disparities by diagnosing inequities, innovating care models, and advocating for social determinants of health. Implementing culturally competent care improves patient outcomes and promotes health equity for all children.
Area of Science:
- Pediatric healthcare
- Health equity
- Cultural competence
Background:
- Pediatric practice faces increasing demands, regulations, and diverse family needs.
- Persistent health disparities by race, ethnicity, and socioeconomic status impact children's health.
- Clinicians must adapt to ensure equitable care for all patients.
Purpose of the Study:
- To outline practical, evidence-based strategies for clinicians to assess and address health disparities.
- To support patient-centered medical home recognition and quality improvement initiatives.
- To empower clinicians in promoting health equity within pediatric practice.
Main Methods:
- Review and synthesis of actionable, evidence-based activities for clinicians.
- Focus on diagnosing disparities, innovating care models, and addressing social determinants of health.
- Emphasis on health literacy, cultural competence, and advocacy.
Main Results:
- Clinicians can diagnose disparities, innovate social determinant of health models, and improve health literacy.
- Strategies include screening for social needs, enhancing services, addressing family health, and community-based care.
- Culturally competent care enhances patient satisfaction, quality, and safety.
Conclusions:
- Clinicians play a vital role in addressing health disparities through direct practice changes and advocacy.
- System-level investment is crucial to support innovation and ensure health equity in pediatrics.
- Actionable strategies can lead to improved health outcomes and reduced disparities for children.
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