Identifying and addressing social determinants of health in pediatric outpatient parenteral antimicrobial therapy

Aspects of OPAT Care in Relation to SDOH Domains SDOH Domain Connection to OPAT delivery Economic stability Balancing employment/childcare responsibilities with OPAT training and administration schedule Identifying risk for food insecurity Ability to pay for housing and utilities needed for OPAT (eg...

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Veröffentlicht in:Infection control and hospital epidemiology 2023-05, Vol.44 (5), p.850-852
Hauptverfasser: Konold, Victoria J. L., Weissman, Scott J., Kronman, Matthew P., Brothers, Adam W., Pak, Daniel, Felder, Kimberly K., Vaz, Louise E.
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Sprache:eng
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Zusammenfassung:Aspects of OPAT Care in Relation to SDOH Domains SDOH Domain Connection to OPAT delivery Economic stability Balancing employment/childcare responsibilities with OPAT training and administration schedule Identifying risk for food insecurity Ability to pay for housing and utilities needed for OPAT (eg, electricity, water, phone, and Internet bills) Education access and quality Caregiver baseline literacy and education level Caregiver learning or developmental disabilities Availability of learning aids for teaching Healthcare access and quality Quality of health insurance and prescription drug coverage Physical and remote access to primary care, emergency care, and OPAT provider Caregiver health literacy Availability of translation services and culturally competent care Availability of trauma-informed care Neighborhood and built environment Transportation to/location of appointments, laboratory draws and line care, pharmacy Ability to receive deliveries and safely store medications (including refrigeration) Housing stability Social and community context Social support system Caregiver and patient mental health School and daycare requirements and restrictions Legal or custody challenges necessitating care in multiple homes by multiple providers Note. [...]programs must engage with other stakeholders, including infusion educators, child life specialists, cultural patient navigators, and/or behavioral health providers to support patients and caregivers in navigating their lived experiences during treatment. In summary, OPAT providers must change their behavior by investigating bias resulting from a lack of uniform OPAT criteria, and by using SDOH screening to prospectively address barriers.
ISSN:0899-823X
1559-6834
DOI:10.1017/ice.2023.36