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Child health equity and primary care

Bibliographic Data

ID8716454
AuthorsJeffrey D Shahidullah (0000-0003-2123-0609, corresponding author), Cody A Hostutler (0000-0003-2311-8928), Tumaini R Coker (0000-0002-5111-6527), Allison Allmon Dixson, Chimereodo Okoroji (0000-0003-1595-4643), Jennifer A Mautone (0000-0002-2712-5255)
Year2023
Volume78
Issue2
Pages93-106
Publication date2023-02-01
Open AccessNo
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/amp0001064
PMID37011162
OpenAlexW4362497247
LanguageEN
Citations received3

Child health disparities in terms of access to high-quality physical and behavioral health services and social needs supports are rampant and pernicious in the United States. These disparities reflect larger societal health inequities (social injustice in health) and lead to preventable population-specific differences in wellness outcomes with marginalized children facing substantial and systematically disproportionate health burdens. Primary care, and specifically the pediatric patient-centered medical home (P-PCMH) model, is a theoretically well-positioned platform to address whole-child health and wellness needs, yet often does so in a way that is inequitable for marginalized populations. This article delineates how the integration of psychologists within the P-PCMH can advance child health equity. This discussion emphasizes roles (i.e., clinician, consultant, trainer, administrator, researcher, and advocate) that psychologists can undertake with explicit intentionality toward promoting equity. These roles consider structural and ecological drivers of inequities and emphasize interprofessional collaboration within and across child-serving systems of care using community-partnered shared decision-making approaches. Owing to the multiple intersecting drivers implicated in health inequities-ecological (e.g., environmental and social determinants of health), biological (e.g., chronic illness, intergenerational morbidity), and developmental (e.g., developmental screening, support, and early intervention)-the ecobiodevelopmental model is used as an organizing framework for psychologists' roles in promoting health equity. This article aims to advance the platform of the P-PCMH to address and promote policy, practice, prevention, and research in child health equity and the important role of psychologists within this model. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Economic growth · Environmental health · Equity (law · Family medicine · Health care · Health equity · Medical home · MEDLINE · Political science · Population · Population health · Primary care · PsycINFO · Public health · Public relations · Social determinants of health · Child and Adolescent Health · Childhood Cancer Survivors' Quality of Life · Food Security and Health in Diverse Populations · Medicine · Nursing · Psychology · Health Policy

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    Open Access•Brianna Wellen, Brianna C M Wellen et al.•Frontiers in Psychiatry•2023

  • Disparities in accessing specialty behavioral health services during the Covid-19 pandemic and why we need pediatric integrated primary care

    Open Access•Ayanda Chakawa, Trista Perez Crawford et al.•Frontiers in Psychiatry•2024

  • Identifying Synergistic Mechanisms of Community-Led Policy, Systems, and Environmental Change for Childhood Obesity Prevention in the Multi-Site Catalyzing Communities Initiative

    Open Access•Travis R Moore, Yuilyn A Chang Chusan et al.•Journal of Urban Health•2026

Citations per year1
Citation span2023 - 2026 (4)
Highly citedNo

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