Community and Case Management Interventions to Address Social Determinants of Health in Infectious Disease.

Purpose/Objectives: Professional case managers are responsible to conduct education, counseling, and other interventions that address the unique needs and gaps of the patients and families they serve. Social determinants of health (SDH) can impact barriers to patient care and outcomes that may go un...

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Publicado en:Professional Case Management Vol. 26; no. 1; pp. 4 - 11
Autor principal: Moreo, Kathleen
Formato: CEU research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jan/Feb2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2021
      vid: 26
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Community and Case Management Interventions to Address Social Determinants of Health in Infectious Disease.
      aug:
        au: Moreo, Kathleen
        affil: Kathleen Moreo, BSN, RN-BC, BHSA, CCM, CDMS, is founder of Prime Education, LLC (PRIME), an accredited medical education company advancing the science of learning and behavior change for case managers and other health care professionals in federal, payer, health system, and community settings for more than 26 years. She is a past president of the Case Management Society of America (1999–2000), and a past recipient of the CMSA Case Manager of the Year Award.
      sug:
        subj:
          Hepatitis B Prevention and Control
          Health Services Accessibility
          Social Determinants of Health
          Community Health Services
          Case Management
          Implementation Science
          Patient-Reported Outcomes
          Outcomes (Health Care)
          Education, Continuing (Credit)
          Patient Attitudes
          Medically Underserved
          Attitude of Health Personnel
          Case Managers Psychosocial Factors
          Health Education
          Counseling
          Health Facility Business Ventures
          Minority Groups
          Special Populations
          Monitoring, Physiologic
          Health Behavior
          Health Screening
          Male
          Female
          Decision Making, Shared
          Pretest-Posttest Design
          Continuity of Patient Care
          Male
          Female
      ab: Purpose/Objectives: Professional case managers are responsible to conduct education, counseling, and other interventions that address the unique needs and gaps of the patients and families they serve. Social determinants of health (SDH) can impact barriers to patient care and outcomes that may go undetected among underserved populations without reliable data. This article describes an implementation science study using patient and provider-informed data and designed interventions to mitigate barriers in SDH related to hepatitis B virus (HBV). Primary Practice Settings: Case managers and other health care team members in community health clinics examined discordances in their own patients' and providers' beliefs about patients' barriers to HBV care. Data were then used to help identify and engage unique strategies in education, counseling, and clinic outreach to improve outcomes in HBV and lessen barriers to care among at-risk minority populations. Findings/Conclusions: Findings from data and information conducted among the clinic patients and health care team members revealed many important barriers in key aspects of SDH occurring in each clinic. As a result, case managers and other health care team members were able to examine distinct differences in what they predicted their patients would say versus what patients actually answered about SDH aspects of their care experiences, including barriers in access to care, health monitoring, and treatment of HBV. Implications for Case Management Practice: The study and data results have implications for case management practice that may also be applied to other infectious diseases. Implications include patient and community outreach strategies to improve access to care; resource management techniques to improve referrals and disease monitoring; and ongoing and improved education and counseling to change behaviors associated with infectious disease prevention, screening, and linkage to care.
      pubtype: Academic Journal
      doctype:
        CEU
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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