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How to Better Integrate Social Determinants of Health into Primary Healthcare: Various Stakeholders’ Perspectives

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  • Catherine Hudon

    (Département de Médecine de Famille et de Médecine D’urgence, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada
    Centre de Recherche du Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada)

  • Olivier Dumont-Samson

    (Département de Médecine de Famille et de Médecine D’urgence, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada)

  • Mylaine Breton

    (Département des Sciences de la Santé Communautaire, Université de Sherbrooke, Longueuil, QC J4K 0A8, Canada)

  • Yann Bourgueil

    (Chaire Santé Sciences Po, 75007 Paris, France)

  • Christine Cohidon

    (Département de Médecine de Famille, Centre Universitaire de Médecine Générale et Santé Publique (Unisanté), Université de Lausanne, 1011 Lausanne, Switzerland)

  • Hector Falcoff

    (Société de Formation Thérapeutique du Généraliste/Recherche (SFTG Recherche), 75013 Paris, France)

  • Nicolas Senn

    (Département de Médecine de Famille, Centre Universitaire de Médecine Générale et Santé Publique (Unisanté), Université de Lausanne, 1011 Lausanne, Switzerland)

  • Thérèse Van Durme

    (Institut de Recherche Santé et Société, Université Catholique de Louvain, 1200 Bruxelles, Belgium)

  • Émilie Angrignon-Girouard

    (Département de Médecine de Famille et de Médecine D’urgence, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada)

  • Sarah Ouadfel

    (Département de Médecine de Famille et de Médecine D’urgence, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada)

Abstract

This paper aims to identify challenges and opportunities related to the integration of social determinants of health (SDH) into primary healthcare at an international symposium in Orford, Quebec, Canada. A descriptive qualitative approach was conducted. Three focus groups on different topics were led by international facilitators. Two research team members took notes during the focus groups. All the material was analyzed using a thematic analysis according to an inductive method. Many challenges were identified, leading to the identification of potential opportunities: integrate the concept of SDH in all phases of the training curriculum for health professionals to foster interprofessional and intersectoral collaboration and sociocultural skills; organize healthcare for better outreach to vulnerable populations; organize local and regional committees to develop management frameworks to produce and use territory-specific data; develop dashboards for primary healthcare providers describing the composition of their territory’s population; work collaboratively, rallying primary healthcare providers, community organization delegates, patient partners, citizens, and municipality representatives around common projects. Discussions prompted new directions for further primary healthcare research, among which are building on best practices in the literature and in the field, and engaging various stakeholders in research, including vulnerable populations, while focusing on patient experience.

Suggested Citation

  • Catherine Hudon & Olivier Dumont-Samson & Mylaine Breton & Yann Bourgueil & Christine Cohidon & Hector Falcoff & Nicolas Senn & Thérèse Van Durme & Émilie Angrignon-Girouard & Sarah Ouadfel, 2022. "How to Better Integrate Social Determinants of Health into Primary Healthcare: Various Stakeholders’ Perspectives," IJERPH, MDPI, vol. 19(23), pages 1-6, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15495-:d:980972
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    References listed on IDEAS

    as
    1. Koo, D. & Felix, K. & Dankwa-Mullan, I. & Miller, T. & Waalen, J., 2012. "A call for action on primary care and public health integration," American Journal of Public Health, American Public Health Association, vol. 102(S3), pages 307-309.
    2. Goodarz Danaei & Eric L Ding & Dariush Mozaffarian & Ben Taylor & Jürgen Rehm & Christopher J L Murray & Majid Ezzati, 2009. "The Preventable Causes of Death in the United States: Comparative Risk Assessment of Dietary, Lifestyle, and Metabolic Risk Factors," PLOS Medicine, Public Library of Science, vol. 6(4), pages 1-23, April.
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    Cited by:

    1. M. Lelinneth B. Novilla & Michael C. Goates & Tyler Leffler & Nathan Kenneth B. Novilla & Chung-Yuan Wu & Alexa Dall & Cole Hansen, 2023. "Integrating Social Care into Healthcare: A Review on Applying the Social Determinants of Health in Clinical Settings," IJERPH, MDPI, vol. 20(19), pages 1-27, October.

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