{"id":35025,"date":"2016-07-01T10:49:56","date_gmt":"2016-07-01T14:49:56","guid":{"rendered":"http:\/\/www.bumc.bu.edu\/busm\/?p=35025"},"modified":"2016-07-01T14:08:21","modified_gmt":"2016-07-01T18:08:21","slug":"jama-viewpoint-garg-boynton-jarrett-propose-a-better-way-of-using-social-determinants-of-health","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/camed\/2016\/07\/01\/jama-viewpoint-garg-boynton-jarrett-propose-a-better-way-of-using-social-determinants-of-health\/","title":{"rendered":"JAMA Viewpoint: Garg, Boynton-Jarrett Propose a Better Way of Using Social Determinants of Health"},"content":{"rendered":"<p>Screening for social determinants of health\u00a0(such as housing, education, and employment status)\u00a0is becoming an essential part of medical encounters. However, unlike traditional medical screening,\u00a0where\u00a0there are\u00a0clearly outlined algorithms and diagnostic\u00a0tools, screening for determinants of health\u00a0can be less straightforward and may\u00a0have\u00a0unintended consequences.<\/p>\n<figure id=\"attachment_35044\" aria-describedby=\"caption-attachment-35044\" style=\"width: 260px\" class=\"wp-caption alignright\"><img loading=\"lazy\" src=\"\/camed\/files\/2016\/07\/COM-Garg-and-Boynton-2-e1467395944496.jpg\" alt=\"Lto r: Arvin Garg, Ren\u00e9e Boynton-Jarrett\" class=\"size-full wp-image-35044\" height=\"124\" width=\"250\" \/><figcaption id=\"caption-attachment-35044\" class=\"wp-caption-text\">Lto r: Arvin Garg, Ren\u00e9e Boynton-Jarrett<\/figcaption><\/figure>\n<p>In a\u00a0June 27\u00a0<span class=\"s5\"><i>JAMA<\/i><\/span><span class=\"s4\"><span class=\"s4\">\u00a0Viewpoint, Associate Professors\u00a0of Pediatrics\u00a0Arvin Garg, MD, MPH, and Ren\u00e9e\u00a0Boynton-Jarrett,\u00a0MD, ScD,\u00a0co-author an opinion piece\u00a0on the potential harms of screening for social determinants of health, and propose\u00a0five\u00a0key principles that practitioners can use to maximize the benefit and minimize the unintended consequences of such screening.\u00a0<\/span><\/span><\/p>\n<p>The BUSM\u00a0faculty,\u00a0together\u00a0with\u00a0Paul H. Dworkin, MD, Chair and Professor of Pediatrics,\u00a0University of Connecticut School of Medicine,\u00a0explain\u00a0that,\u00a0\u201cScreening for social determinants can detect adverse exposures and conditions that typically require resources well beyond the scope of clinical care. Screening for any condition in isolation without the capacity to ensure referral and linkage to appropriate treatment is ineffective and, arguably, unethical. Such screening could yield expectations that, if unfulfilled, could lead to frustration for patients and physicians alike, and could erode the patient-physician relationship.\u201d<\/p>\n<p>Among the five key principles that could\u00a0significantly improve the health and well-being of patients\u00a0while minimizing\u00a0unintended harm,\u00a0they\u00a0propose that screening should involve\u00a0shared decision-making with the patient,\u00a0and should be conducted within a system that supports linkage to a wide array of community-based services. Further,\u00a0they\u00a0advise practitioners to engage their entire practice population rather than\u00a0specific\u00a0subgroups\u00a0targeted\u00a0based on\u00a0their\u00a0apparent social status, and to use a strength-based approach to support patients and their families.<\/p>\n<p>Read the entire\u00a0article\u00a0at\u00a0<a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleID=2531579\"><span class=\"s6\"><i><span style=\"color: blue; text-decoration: none; text-underline: none;\">JAMA<\/span><\/i><\/span><span class=\"s7\"><span style=\"color: blue;\">\u00a0Viewpoint<\/span><\/span><\/a><\/p>\n<p>Submitted by:\u00a0Elie\u00a0Sader, MD<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Associate Professors of Pediatrics Arvin Garg, MD, MPH, and Ren\u00e9e Boynton-Jarrett, MD, ScD, co-author an opinion piece on the potential harms of screening for social determinants of health, and propose five key principles that practitioners can use to maximize the benefit and minimize the unintended consequences of such screening.<\/p>\n","protected":false},"author":903,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[91],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/35025"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/users\/903"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/comments?post=35025"}],"version-history":[{"count":6,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/35025\/revisions"}],"predecessor-version":[{"id":35050,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/35025\/revisions\/35050"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media?parent=35025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/categories?post=35025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/tags?post=35025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}