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Citation
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Margolis KL, Buchholz M, Charlot-Swilley D, Serrano V, Herbst R, Meiselman E, Talmi A. Clin. Pract. Pediatr. Psychol. 2022; 10(3): 263-272. |
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Abstract
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OBJECTIVE: This topical review examines an equity-focused parenting intervention and how it addresses structural problems in health care that perpetuate inequities for marginalized groups.
METHODS: Four domains of pediatric primary care (PPC) that perpetuate health inequities are discussed, including (a) acontextual, individual patient focus of health care; (b) fragmented and siloed networks of care; (c) limited cultural awareness in care; and (d) diagnosis-driven health care benefits. Next, a model of two-generational primary care behavioral health is discussed as a way to mitigate structural aspects of PPC that contribute to inequities.
RESULTS: Integrating early childhood behavioral health into PPC, a system designed to provide universal prevention and health promotion, can enact a transformative impact on a traditionally racist system of health care. The following specific mechanisms of this model are discussed: (a) expanding the acontextual, individual patient focus; (b) providing care coordination that mitigates fragmented and siloed networks of care; (c) engaging in reflective practice to enhance cultural awareness in care; and (d) shifting from diagnosis-driven to family-centered paradigms.
CONCLUSIONS: Implications for practice, clinic transformation, and systems-related policy changes that can shift structural policies that perpetuate racism and oppression are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Language: en |