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Following through: Interventions to improve long-term outcomes of preterm infants

Erika M Edwards1, Jeffrey D Horbar2

  • 1Vermont Oxford Network, Burlington, VT, USA; Department of Pediatrics, Robert Larner, MD, College of Medicine, University of Vermont, Burlington, VT, USA; Department of Mathematics and Statistics, College of Engineering and Mathematical Sciences, University of Vermont, Burlington, VT, USA.

Seminars in Perinatology
|April 15, 2021
PubMed

Insights

Addressing historical inequities requires a comprehensive "follow through" approach from prenatal care through childhood. This strategy partners healthcare providers, families, and communities to meet social and medical needs, promoting health equity.

Area of Science:

  • Public Health
  • Health Equity
  • Social Determinants of Health

Background:

  • Deeply ingrained societal inequities stemming from historical injustices (enslavement, genocide, racism, discrimination) are primary drivers of health disparities.
  • Existing healthcare models often fail to adequately address the social and environmental factors influencing health outcomes.
  • A gap exists in practical, actionable strategies for healthcare providers to mitigate the impact of social determinants of health.

Purpose of the Study:

  • To explore and propose enhanced "follow through" practices in neonatal care.
  • To provide neonatal care providers with tangible methods for addressing social determinants of health.
  • To advance the goal of achieving health equity by integrating social needs with medical care.

Main Methods:

  • Review of current literature on health disparities and social determinants of health.
  • Analysis of existing "follow through" models in infant and family care.
  • Development of evidence-based recommendations for neonatal care providers.

Main Results:

  • Identification of key social determinants of health impacting infant and family well-being.
  • Outline of a comprehensive "follow through" framework from prenatal care to childhood.
  • Specific, actionable strategies for neonatal providers to address social needs.

Conclusions:

  • A proactive, community-integrated "follow through" approach is essential for achieving health equity.
  • Neonatal care providers can play a crucial role in addressing social determinants of health.
  • Integrating social and medical care from the earliest stages is vital for long-term health outcomes.

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