Clinicians' Perspectives on Social Determinants Affecting Acute Care
Author Information
Author(s): Osokpo Onome, Hirschman Karen, Shaid Elizabeth, McCauley Kathleen, Naylor Mary
Primary Institution: University of Illinois Chicago
Hypothesis
What social determinants of health influence acute care resource use for older adults?
Conclusion
Clinicians identified several social determinants that impact the care of older adults transitioning from hospital to home.
Supporting Evidence
- Most identified social determinants of health occurred within the Healthcare Access and Quality and Social and Community Context domains.
- Barriers included scheduling issues, communication lapses, and language barriers.
- Strategies to improve care included telehealth and healthcare-community partnerships.
Takeaway
Doctors think that things like not being able to get to appointments or not speaking English can make it hard for older people to get the care they need after leaving the hospital.
Methodology
Descriptive qualitative analysis of clinical team meetings discussing care delivery challenges.
Potential Biases
Potential bias from the perspectives of APRNs and clinical coordinators involved in the study.
Limitations
The study is based on qualitative data from specific healthcare systems and may not be generalizable.
Participant Demographics
Older adults with multiple chronic conditions, specifically those hospitalized with heart failure, COPD, or pneumonia.
Digital Object Identifier (DOI)
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