The time is now: Fostering relationship-centered discussions about patients’ social determinants of health

Antoinette Schoenthaler, Iman Hassan, Kevin Fiscella

Research output: Contribution to journalComment/debate

2 Citations (Scopus)

Abstract

Objective: This paper discusses the importance of developing best practices in communication strategies to identify and act on social determinants of health (SDOH) in care settings in ways that minimizes shame and builds patient trust in the process. Discussion: We leverage the relationship-centered care framework to provide health care teams guidance in how to foster meaningful discussions about SDOH at three pivotal points in the process: 1) at the initial screening; 2) once an unmet social need has been identified; and 3) when exchanging SDOH data with team members and external organizations. Conclusion: This discussion piece uses a relationship-centered framework to offer several evidence-based recommendations for health care systems on how to help their workforce respectfully listen and collaborate with patients to address SDOH. Additional research into patient and provider perceptions of relationship-centered communication surrounding screening and referral practices can help further adapt and refine best practices to maximize chances for addressing patients’ SDOH.

Original languageEnglish (US)
Pages (from-to)810-814
Number of pages5
JournalPatient Education and Counseling
Volume102
Issue number4
DOIs
StatePublished - Apr 2019
Externally publishedYes

Fingerprint

Social Determinants of Health
Foster Home Care
Practice Guidelines
Communication
Delivery of Health Care
Shame
Patient Care Team
Evidence-Based Practice
Referral and Consultation
Organizations
Research

Keywords

  • Patient-provider communication
  • Relationship-centered care
  • Social determinants of health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The time is now : Fostering relationship-centered discussions about patients’ social determinants of health. / Schoenthaler, Antoinette; Hassan, Iman; Fiscella, Kevin.

In: Patient Education and Counseling, Vol. 102, No. 4, 04.2019, p. 810-814.

Research output: Contribution to journalComment/debate

@article{906f12ee753d4a84b03e9335930e75fe,
title = "The time is now: Fostering relationship-centered discussions about patients’ social determinants of health",
abstract = "Objective: This paper discusses the importance of developing best practices in communication strategies to identify and act on social determinants of health (SDOH) in care settings in ways that minimizes shame and builds patient trust in the process. Discussion: We leverage the relationship-centered care framework to provide health care teams guidance in how to foster meaningful discussions about SDOH at three pivotal points in the process: 1) at the initial screening; 2) once an unmet social need has been identified; and 3) when exchanging SDOH data with team members and external organizations. Conclusion: This discussion piece uses a relationship-centered framework to offer several evidence-based recommendations for health care systems on how to help their workforce respectfully listen and collaborate with patients to address SDOH. Additional research into patient and provider perceptions of relationship-centered communication surrounding screening and referral practices can help further adapt and refine best practices to maximize chances for addressing patients’ SDOH.",
keywords = "Patient-provider communication, Relationship-centered care, Social determinants of health",
author = "Antoinette Schoenthaler and Iman Hassan and Kevin Fiscella",
year = "2019",
month = "4",
doi = "10.1016/j.pec.2018.10.025",
language = "English (US)",
volume = "102",
pages = "810--814",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "4",

}

TY - JOUR

T1 - The time is now

T2 - Fostering relationship-centered discussions about patients’ social determinants of health

AU - Schoenthaler, Antoinette

AU - Hassan, Iman

AU - Fiscella, Kevin

PY - 2019/4

Y1 - 2019/4

N2 - Objective: This paper discusses the importance of developing best practices in communication strategies to identify and act on social determinants of health (SDOH) in care settings in ways that minimizes shame and builds patient trust in the process. Discussion: We leverage the relationship-centered care framework to provide health care teams guidance in how to foster meaningful discussions about SDOH at three pivotal points in the process: 1) at the initial screening; 2) once an unmet social need has been identified; and 3) when exchanging SDOH data with team members and external organizations. Conclusion: This discussion piece uses a relationship-centered framework to offer several evidence-based recommendations for health care systems on how to help their workforce respectfully listen and collaborate with patients to address SDOH. Additional research into patient and provider perceptions of relationship-centered communication surrounding screening and referral practices can help further adapt and refine best practices to maximize chances for addressing patients’ SDOH.

AB - Objective: This paper discusses the importance of developing best practices in communication strategies to identify and act on social determinants of health (SDOH) in care settings in ways that minimizes shame and builds patient trust in the process. Discussion: We leverage the relationship-centered care framework to provide health care teams guidance in how to foster meaningful discussions about SDOH at three pivotal points in the process: 1) at the initial screening; 2) once an unmet social need has been identified; and 3) when exchanging SDOH data with team members and external organizations. Conclusion: This discussion piece uses a relationship-centered framework to offer several evidence-based recommendations for health care systems on how to help their workforce respectfully listen and collaborate with patients to address SDOH. Additional research into patient and provider perceptions of relationship-centered communication surrounding screening and referral practices can help further adapt and refine best practices to maximize chances for addressing patients’ SDOH.

KW - Patient-provider communication

KW - Relationship-centered care

KW - Social determinants of health

UR - http://www.scopus.com/inward/record.url?scp=85055751783&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055751783&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2018.10.025

DO - 10.1016/j.pec.2018.10.025

M3 - Comment/debate

C2 - 30391299

AN - SCOPUS:85055751783

VL - 102

SP - 810

EP - 814

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 4

ER -