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'Rules for radicals': a subversive's guide to putting social paediatrics into practice
1Consultant in Neurodevelopmental and Social Paediatrics, King's College London, United Kingdom. Conflicts of interest: none declared.
Insights
Paediatricians can address health inequalities by integrating social determinants of health into their practice. This article offers practical strategies and grassroots organizing approaches for social justice advocacy in paediatrics.
Area of Science:
- Public Health
- Social Medicine
- Paediatrics
Background:
- The COVID-19 pandemic has exacerbated poverty and highlighted health inequalities in the UK.
- Social determinants of health are evident in paediatric clinical practice daily.
- Paediatricians lack structured opportunities and resources to address social justice issues impacting child health.
Purpose of the Study:
- To demonstrate how paediatricians can apply a theoretical framework to integrate social determinants of health into clinical practice.
- To provide practical guidance for paediatricians to move from understanding the 'why' to implementing the 'how' of social justice advocacy.
- To introduce new initiatives like the 'social tool kit' and 'social incubator' for grassroots organizing.
Main Methods:
- Utilizes real-life examples from the author's professional experience.
- Applies a theoretical framework to clinical practice.
- Advocates for bottom-up, grassroots organizing and knowledge development.
Main Results:
- Provides a practical framework for paediatricians to address social determinants of health.
- Empowers paediatricians with actionable strategies and tools for social justice advocacy.
- Highlights the importance of proactive, clinician-led initiatives.
Conclusions:
- Paediatricians can and should actively engage with social determinants of health.
- Grassroots organizing and innovative tools are crucial for advancing social justice in child health.
- A shift towards integrating social justice into paediatric practice is necessary to combat health inequalities.
Abstract:
Paediatricians witness the social determinants of health in action in their clinical practice every day. By pushing hundreds of thousands of children into poverty, the global coronavirus pandemic has only made the link between social justice and health inequalities in the UK clearer and more relevant than ever. Yet paediatricians face a glaring dearth of opportunities to meaningfully engage with the issue, and lack the resources with which to learn what can be done about it. Using real-life examples from the author's own professional experience, this article demonstrates how ordinary paediatricians can apply a theoretical framework to clinical practice to move from why paediatricians ought to orient their practice towards the social determinants of health, to how. Rather than waiting for institutions to lead the way, this article provides 'rules for radicals' and makes a call for bottom-up, grassroots organizing around social justice and developing the knowledge and tools to fight it, including the exciting new initiatives of the 'social tool kit' and the 'social incubator'.
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