|Diabetes control isn't|
their top concern
Arvin Garg, Brian Jack and Barry Zuckerman have written a JAMA "Viewpoint" that offers five lessons from pediatric medical homes that can mitigate harmful social determinants:
1) Include social determinants (for example, community factors, substance abuse, education, malnutrition or poverty) in the creation of national treatment guidelines.
2) Develop and implement screening programs to identify any social determinants that could impact medical treatment.
3) Colocate community resources that address social determinant in PCMHs. Examples include housing programs, job training programs or food pantries.
4) Colocate "outside the box" social programs in PCMHs also. This is an area ripe for piloting or researching innovative interventions
5) Integrate visiting nurse programs with the PCMH. Think of the visiting nurses as an extension of the medical home.
As readers of the DMCB are aware, not all PCMH's can build the full suite of services that make up a medical home. Since health insurers and care management vendors are partnering with primary care physicians to build medical homes, this approach to incorporating social determinants in their programs is worth a closer look.