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Codesigning Online Continuing Medical Education on Social Health Integration and Social Risk-Informed Care for Primary Care Providers.
Brown, Meagan C; Paolino, Andrea R; Barnes, Katheen A; Papajorgji-Taylor, Dea; Solomon, Loel S; Lewis, Cara C; Bojkov, Elizabeth; Coleman, Katie F.
Afiliación
  • Brown MC; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
  • Paolino AR; University of Washington School of Public Health, Seattle, WA, USA.
  • Barnes KA; Kaiser Permanente Colorado Institute for Health Research, Aurora, CO, USA.
  • Papajorgji-Taylor D; Washington Permanente Medical Group, Seattle, WA, USA.
  • Solomon LS; Kaiser Permanente Northwest Center for Health Research, Portland, OR, USA.
  • Lewis CC; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
  • Bojkov E; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
  • Coleman KF; University of Washington School of Public Health, Seattle, WA, USA.
Perm J ; 28(2): 26-35, 2024 06 14.
Article en En | MEDLINE | ID: mdl-38727254
ABSTRACT

INTRODUCTION:

Adapting clinical care decisions for patient-reported social risks is essential to social health integration and patient-centered care. Most research in this area focuses on awareness and assistance (social-needs-targeted care), such as screening and referral to food, financial, and other resources. Limited evidence for adjustment strategies (social risk-informed care) or adapting care for social risks made it difficult for Kaiser Permanente to implement new initiatives. This article describes a codesign process to build a novel, adjustment-focused continuing medical education course.

METHODS:

The authors codeveloped the online continuing medical education course with patients and clinicians using user-centered design. Transcripts from codesign activities were coded and analyzed by thematic analysis to identify major themes, including perceptions of social risk-informed care and barriers to care adjustment.

RESULTS:

Practical hurdles for implementing social risk-informed care emerged, including clinicians' concerns about the ethics of adjustment as substandard care, particularly without robust assistance activities. However, patients expressed a desire for their care to be adapted to their social circumstances, to allow for more realistic care plans.

DISCUSSION:

Implementation barriers identified from the codesign were addressed through an interactive, case-study approach. Existing evidence on contextualized care and shared decision making informed a general framework for primary care providers to engage in awareness and adjustment activities, paired with 3 interactive case studies based on real-world, clinician-supplied scenarios.

CONCLUSION:

The authors recommend that multiple stakeholder perspectives be incorporated during the development of social health integration initiatives, particularly adjustment. Education complemented by active, nuanced, flexible implementation strategies may be necessary for the successful uptake of care-delivery-based social health integration activities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Educación Médica Continua Límite: Female / Humans / Male Idioma: En Revista: Perm J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Educación Médica Continua Límite: Female / Humans / Male Idioma: En Revista: Perm J Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos