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Improving Health Equity Through Public Health Referrals.

Rosalind A Moore1, Debbie Van Kuiken2, Susan Allen2

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|March 26, 2022
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Summary

Public health providers improved social determinants of health (SDOH) assessments and referrals by 55% after implementing a PACE-focused training module. This intervention aims to reduce healthcare disparities for vulnerable populations.

Keywords:
community resourceshealthcare inequitiesprovider referralssocial determinants of health

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Area of Science:

  • Public Health
  • Healthcare Quality Improvement
  • Health Equity

Background:

  • Healthcare providers encounter barriers in assessing social needs and making appropriate referrals, contributing to health disparities.
  • Social Determinants of Health (SDOH) significantly impact patient outcomes and access to care.
  • Existing systems often lack structured approaches to address non-medical patient needs.

Purpose of the Study:

  • To develop and implement an educational intervention to enhance the assessment of SDOH and increase patient referrals to community resources.
  • To improve healthcare providers' understanding and application of SDOH principles in clinical practice.
  • To reduce healthcare inequities experienced by minority groups and individuals in poverty.

Main Methods:

  • A quality improvement study was conducted involving public health providers at a local center.
  • An educational module based on the PACE (Partnership, Acceptance, Compassion, Evocation) framework was developed and delivered.
  • Training sessions focused on integrating SDOH assessment and referral processes into patient care.

Main Results:

  • Following the educational module implementation, public health providers successfully referred 55% of patients screened for SDOH needs.
  • The study observed an overall increase in providers' understanding of SDOH.
  • A notable improvement in the rate of appropriate referrals for patients with identified social needs was documented.

Conclusions:

  • The PACE-based SDOH training module effectively enhanced providers' ability to assess social needs and make appropriate referrals.
  • Incorporating SDOH training and ongoing screenings in public health settings can mitigate healthcare inequities.
  • This intervention demonstrates a practical approach to addressing social determinants of health and promoting health equity.