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Published on: February 26, 2011

Income Security Health Promotion: Addressing Patients' Unmet Income Needs in a Toronto Family Practice, a Qualitative

Jane Parry¹, Meredith Vanstone², Michel Grignon¹

¹Department of Health, Aging and Society, McMaster University, Hamilton, ON, Canada.

International Journal of Social Determinants of Health and Health Services

|February 12, 2026

Summary

This summary is machine-generated.

Primary care teams can address patient poverty through income security health promotion services. This case study details how one such program was established and functions, offering insights for replication in other settings.

Keywords:

income physician poverty primary care system navigator

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Area of Science:

Public Health
Health Services Research

Background:

Poverty is a significant social determinant of health.
Healthcare professionals are increasingly addressing poverty's health impacts, particularly in primary care.
The Income Security Health Promotion service at St. Michael's Hospital exemplifies a primary care intervention for unmet income needs.

Purpose of the Study:

To describe the origins, context, and functioning of the Income Security Health Promotion service.
To provide insights for other primary care practitioners considering similar income interventions.
To understand the key elements for creating and sustaining such programs.

Main Methods:

A qualitative case study approach was employed.
Purposive sampling was used to recruit 12 key informants.
Interviews were conducted with income security health promoters, clinicians, and management.

Main Results:

The service originated within a new, well-resourced family practice.
The team comprised clinicians knowledgeable about social determinants of health and committed to social justice.
Key findings include the necessary skill set for a health promoter and the importance of integrating the role into the care team.

Conclusions:

The St. Michael's Hospital service offers a model for primary care interventions addressing poverty.
Successful implementation requires a supportive practice environment, skilled personnel, and integration into the care team.
The study provides valuable lessons for establishing and maintaining income security health promotion programs in primary care settings.