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Addressing social determinants of noncommunicable diseases in primary care: a systematic review
OBJECTIVE: To explore how primary care organizations assess and subsequently act upon the social determinants of noncommunicable diseases in their local populations. METHODS: For this systematic review we searched the online databases of PubMed®, MEDLINE®, Embase® and the Health Management Informati...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607469/ https://www.ncbi.nlm.nih.gov/pubmed/33177772 http://dx.doi.org/10.2471/BLT.19.248278 |
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author | Allen, Luke N Smith, Robert W Simmons-Jones, Fiona Roberts, Nia Honney, Rory Currie, Jonny |
author_facet | Allen, Luke N Smith, Robert W Simmons-Jones, Fiona Roberts, Nia Honney, Rory Currie, Jonny |
author_sort | Allen, Luke N |
collection | PubMed |
description | OBJECTIVE: To explore how primary care organizations assess and subsequently act upon the social determinants of noncommunicable diseases in their local populations. METHODS: For this systematic review we searched the online databases of PubMed®, MEDLINE®, Embase® and the Health Management Information Consortium from inception to 28 June 2019, along with hand-searching of references. Studies of any design that examined a primary care organization assessing social determinants of noncommunicable diseases were included. For quality assessment we used Cochrane’s tool for assessing risk of bias in non-randomized studies of interventions. We used narrative data synthesis to appraise the extent to which the assessments gathered data on the domains of the World Health Organization social determinants of health framework. FINDINGS: We identified 666 studies of which 17 were included in the review. All studies used descriptive study designs. Clinic-based and household surveys and interviews were more commonly used to assess local social determinants than population-level data. We found no examples of organizations that assessed sociopolitical drivers of noncommunicable diseases; all focused on sociodemographic factors or circumstances of daily living. Nevertheless, the resulting actions to address social determinants ranged from individual-level interventions to population-wide measures and introducing representation of primary care organizations on system-level policy and planning committees. CONCLUSION: Our findings may help policy-makers to consider suitable approaches for assessing and addressing social determinants of health in their domestic context. More rigorous observational and experimental evidence is needed to ascertain whether measuring social determinants leads to interventions which mitigate unmet social needs and reduce health disparities. |
format | Online Article Text |
id | pubmed-7607469 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-76074692020-11-10 Addressing social determinants of noncommunicable diseases in primary care: a systematic review Allen, Luke N Smith, Robert W Simmons-Jones, Fiona Roberts, Nia Honney, Rory Currie, Jonny Bull World Health Organ Systematic Reviews OBJECTIVE: To explore how primary care organizations assess and subsequently act upon the social determinants of noncommunicable diseases in their local populations. METHODS: For this systematic review we searched the online databases of PubMed®, MEDLINE®, Embase® and the Health Management Information Consortium from inception to 28 June 2019, along with hand-searching of references. Studies of any design that examined a primary care organization assessing social determinants of noncommunicable diseases were included. For quality assessment we used Cochrane’s tool for assessing risk of bias in non-randomized studies of interventions. We used narrative data synthesis to appraise the extent to which the assessments gathered data on the domains of the World Health Organization social determinants of health framework. FINDINGS: We identified 666 studies of which 17 were included in the review. All studies used descriptive study designs. Clinic-based and household surveys and interviews were more commonly used to assess local social determinants than population-level data. We found no examples of organizations that assessed sociopolitical drivers of noncommunicable diseases; all focused on sociodemographic factors or circumstances of daily living. Nevertheless, the resulting actions to address social determinants ranged from individual-level interventions to population-wide measures and introducing representation of primary care organizations on system-level policy and planning committees. CONCLUSION: Our findings may help policy-makers to consider suitable approaches for assessing and addressing social determinants of health in their domestic context. More rigorous observational and experimental evidence is needed to ascertain whether measuring social determinants leads to interventions which mitigate unmet social needs and reduce health disparities. World Health Organization 2020-11-01 2020-05-01 /pmc/articles/PMC7607469/ /pubmed/33177772 http://dx.doi.org/10.2471/BLT.19.248278 Text en (c) 2020 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Systematic Reviews Allen, Luke N Smith, Robert W Simmons-Jones, Fiona Roberts, Nia Honney, Rory Currie, Jonny Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title | Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title_full | Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title_fullStr | Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title_full_unstemmed | Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title_short | Addressing social determinants of noncommunicable diseases in primary care: a systematic review |
title_sort | addressing social determinants of noncommunicable diseases in primary care: a systematic review |
topic | Systematic Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607469/ https://www.ncbi.nlm.nih.gov/pubmed/33177772 http://dx.doi.org/10.2471/BLT.19.248278 |
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