Impact of the Social Determinants of Health in the Central Catalan Region

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Status: Unknown

Conditions: Social Determinants of Health; Primary Health Care

Study type: Observational

Funder types: Other

Identifiers

NCT04151056

19/079-P

Details and patient eligibility

About

The objective of this study is to increase the registry of social determinants of health in the primary care centers and evaluate the relationship that these social determinants of health with various variables of social impact.

Full description

Currently, the social problems are hidden behind clinical diagnostics. This may lead to overdiagnosis and overtreatment of some discomforts/pathologies that are observed in primary care centers that may respond better to community level interventions and promotion of health actions.

It is longitudinal , multicentered, pre and post intervention study, conducted by health professionals of central Catalonia sanitary region during 2019 Prior to the intervention, the number and type of social coded diagnoses in the clinical history is going to be described. Subsequently, an intervention will be carried out: training the professionals in the homogeneous codification of five selected social determinants. This codification will be systematically applied .The number and type of social diagnostics registered in the pre and post-intervention periods is going to be compared. Finally, the impact analysis of the social determinants is going to be carried out.

Afterwards the investigators plan to search solutions at Community level for the select social diagnoses

Enrollment: 1,500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Phase I:

• Patients have been attended in their primary care centers during 23 September 2019 to 23 April 2020.
• The health professionals should complete the study checklist for each patient .

Phase II:

•Patients should sign the informed consent form to enter in a study cohort.

Exclusion criteria

Patients with advanced cognitive impairment because they would not be able to complete the study checklist. The study checklist is consist in answering five questions.

Trial design

1,500 participants in 6 patient groups

Patients without social determinant of health

Description:

Patients without any of the five selected social determinants of health / Patients without any of the five selected social diagnosis. Patient with a registered diagnostic " Health check" (Z00.00)

Patients with the social determinant"stressful work hours"

Description:

Patients with the selected social determinant of health. Patients with a registered diagnostic "stressful work hours " (Z56.3)

Patients with the social determinant of health "living alone"

Description:

Patients with the select social determinant of health . Patients with the selected social determinant of health . Patients with a registered diagnostic " living alone problems" (Z60.2)

Patients with the social determinant of health "acculturation"

Description:

Patients with the selected social determinant of health. Patients with a registered diagnostic "difficulty acculturation " (Z60.3)

Patients with the social determinant "near surrounding"

Description:

Patients with the selected social determinant of health. Patients with a registered diagnostic "other specific problems related to the nearest surroundings" (Z63.8)

Patients with the social determinant "unemployment"

Description:

Patients with the selected social determinant of health. Patients with a registered diagnostic "unemployment not specified" (Z56.0)