Identifying Social Determinants of Health and Allocating Resources During the COVID-19 Pandemic. Issue 4 (July 2021)

• Record Type: Journal Article
• Authors: Pappan, Nikos; Austin, Scarlett; Venkat, Divya; Thakkar, Payal
• Is Part Of: Infectious diseases in clinical practice. Volume 29:Issue 4(2021)
• Publication Date: 2021-07
• Subjects: social determinants of health -- COVID-19 -- quality improvement -- public outreach; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Periodicals; Electronic journals; 616.9
• DOI: 10.1097/IPC.0000000000001003
• Languages: English
• ISSNs: 1056-9103

Abstract

Abstract : Background: Currently, the world has found itself in a global pandemic with coronavirus. At its start, to limit the spread of this virus, countries, states, and counties have implemented stay-at-home orders and shutdowns. These shutdowns had great impacts on people's well-being and exacerbated social determinants of health. This project aims to identify patient social determinants of health and their associations during the COVID-19 pandemic via telemedicine. Methods: A total of 104 patients were surveyed within Pittsburgh, Pennsylvania, who had not been seen for at least 4 weeks before March 23, 2020 and who did not have a scheduled visit within 4 weeks of the initial survey. Based on a patient's specific response, resources were then allocated to them. Results: Most patients surveyed identified at least 1 social determinant of health, the most common being financial issues (27%), mental health issues (26%), and access to food (19%). A statistically significant relationship was found between patients who identified finances with access to food, access to medication with struggling to care for themselves or others, and physical wellness with mental health. Lastly, an association was found between those who did not identify any difficulties and wanting more information. Conclusions: By identifying needed barriers via telemedicine, we can properly allocate resources to those who need it the most and hope to decrease the potential long-term effects of this current pandemic.