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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Adjusting Clinical Plans Based on Social Context.

Emilia H De Marchis1, Benjamin Aceves2, Na'amah Razon2

  • 1From the Department of Family & Community Medicine, University of California, San Francisco (EHD, LMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); America's Health Insurance Plans, Washington, DC (MJ). emilia.demarchis@ucsf.edu.

Journal of the American Board of Family Medicine : JABFM
|June 28, 2024
PubMed
Summary
This summary is machine-generated.

Clinicians frequently adjust patient care plans based on social risks, but lack guidelines. Standardizing these adjustments in community health centers can improve patient outcomes through better contextualization.

Keywords:
Community Health CentersHealth DisparitiesHealth EquityOutcomes AssessmentPatient-Centered CareShared Decision-MakingSocial Determinants of HealthSocial Risk FactorsSurveys and QuestionnairesTexas

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Area of Science:

  • Health Services Research
  • Clinical Practice
  • Social Determinants of Health

Background:

  • Social risk data collection is increasing in community health centers (CHCs).
  • Understanding how clinicians adjust medical care based on patient social risk factors is crucial.

Purpose of the Study:

  • To explore clinicians' practices of adjusting medical care based on awareness of patients' social risk factors in Texas CHCs.
  • To identify factors influencing these care adjustments.

Main Methods:

  • Convergent mixed-methods study involving surveys and interviews with clinicians.
  • Survey data analyzed using descriptive statistics; interview data analyzed using thematic analysis and inductive coding.

Main Results:

  • Clinicians reported frequent adjustments to care plans based on patients' social contexts, alongside concerns.
  • Awareness of social risks, clinician time, training, and experience influenced adjustment decisions.
  • Support for adjustment activities was indicated across surveys and interviews.

Conclusions:

  • Clinicians routinely adjust care plans based on social contexts without specific guidelines or training.
  • Standardizing these adjustments can improve patient care contextualization and health outcomes.
  • Shared decision-making can be facilitated through standardized adjustments.