WONCA APR Conference 2019/第10回日本プライマリ・ケア連合学会学術大会

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Workshop

WONCA APR Conference 2019 » Workshop

[WS3-30] The ‘social vital signs’ mnemonic to improve awareness about determinants of health

2019年5月17日(金) 14:15 〜 15:00 第11会場 (2F Room K)

Organizer: Akira Ohya(Mimihara General Hospital General Medichine, Japan)
Chair: Masanari Komatsu(Kagoshima Seikyo Hospital, General Medicine, Japan), Yuko Takeda(Juntendo University Faculty of Medichine, Japan)
Presenter: Satoshi Suzuki(Tone Chuo Hospital GIM, Japan), Haruki Imura(Amagasaki Medical Co-op Hospital, General Internal Medicine, Japan), Yukinori Harada(Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Japan), Junki Mizumoto(Ehime Prefectural Central Hospital General Medicine, Japan)

As primary care providers, we recognize the importance of clinical approach based on the Bio-Psycho-Social model, to assure patient centeredness and remind us about health advocacy. However, it is easy to overlook a patients' social history and background of his/her life.
In order to improve awareness about social determinants of health (SDH), we have developed the concept of "social vital signs (SVS)". This mnemonic is a tool to remind the provider of the important questions to ask, and to encourage a provider to take a history related to micro and meso level of SDH. The SVS is composed of 7 items.
H: human network/relationships
E: employment, income
A: activities that make one’s life worth living
L: literacy and learning environment
T: taking adequate food, shelter and clothing
H: health care system
+
P: patient preference and values

In this workshop, we will briefly introduce SDH and the definition of terms to serve as a baseline, then there will be case-based small group discussions where participants will apply the SVS. The workshop will end with a large group discussion about options for introducing and implementing SVS in their local context.

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