How Social Determinants of Health Impact Physical Therapy Outcomes

Published: Dec. 28, 2020, 11 a.m.

b'Rupal Patel is a physical therapist and professor at Texas Woman\\u2019s University.\\xa0Lisa\\xa0VanHoose is the physical therapy program director at the University of Louisiana Monroe and owner of the\\xa0Ujima Institute. Zachary Rethorn is a Faculty Development Resident at Duke University, owns his own telehealth practice called\\xa0Rethorn Physical Therapy and Practice\\xa0and current PhD Student in health promotion and wellness.\\n\\n\\n\\nRupal,\\xa0Lisa, and Zachary spoke together at CSM in Denver on their presentation \\u201cBetter Together in Diversity, Equity, and Inclusion: Engaging Diverse Populations to Improve Rehabilitation Outcomes.\\u201d\\n\\n\\n\\nTo breakdown DEI,\\xa0diversity\\xa0are all the components that create a person.\\xa0Equity\\xa0is those opportunities or objects that become fit for an individual.\\xa0Inclusion\\xa0is welcoming the diversity of others.\\n\\n\\n\\nDiscussing public health issues, these begin to include people with disabilities, lower literacy, language barriers, and communities with minimal opportunities.\\xa0The communities that integrate DEI into their culture demonstrate less gap between high-income and low-income individuals.\\n\\n\\n\\nThere are different factors that affect health \\u2013 40-50% of health is related to our social context and environment. Healthcare and access to healthcare is at most 20% of health. Our health behaviors make up the rest of the 30-40%.\\n\\n\\n\\nThe panel believes clinical practice will begin to shift by diving deeper into a patient\\u2019s social environment as health begins in those social contexts. The biggest barrier is starting the conversation. Someone\\u2019s own self efficacy and self-confidence can get in the way of addressing the sensitive issues of our patients.\\n\\n\\n\\nThe\\xa0Health Leads Social Needs Screening Toolkit\\xa0helps clinicians to take those steps to understand a patient\\u2019s social needs. The AAFP has a\\xa0Neighborhood Navigator Tool\\xa0and the website\\xa0findhelp.org\\xa0are great ways to connect patients with supportive resources in their community.\\n\\n\\n\\nTo improve physical therapy outcomes, looking \\u201cupstream\\u201d means to consider other factors that could be contributing to a patient\\u2019s health rather than solely looking at the condition or chief complaint. Check this\\xa0TED Talk\\xa0about upstream medicine and how upstreaming can improve your patient\\u2019s outcomes.\\n\\n\\n\\nQUOTES\\n\\n\\n\\n11:43 \\u201cVoting rights are a public health issue.\\u201d \\u2013 RUPAL\\n\\n\\n\\n16:22 \\u201cSo everyone brings diversity into a room with them. It\\u2019s just whether or not we recognize it.\\u201d \\u2013\\xa0LISA\\n\\n\\n\\n19:23 \\u201cAn inclusive group by definition can be diverse, but a diverse group is not always inclusive.\\u201d \\u2013 RUPAL\\n\\n\\n\\n23:02 \\u201cWhy do we treat people and then send them back to the very condition that made them sick.\\u201d \\u2013 ZACHARY\\n\\n\\n\\n27:45 \\u201cThe folks that have had enough, they don\\u2019t need to listen. I think there are plenty of folks who want to listen and learn.\\u201d \\u2013 RUPAL'