Expanding human factors/ergonomics to address social determinants of health: A patient ergonomics approach to birth justice

IF 2.5 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL
Courtney C. Rogers , Sophia S. Jang , Whitney Tidwell , Sarah Shaughnessy , Fern R. Hauck , Ishan C. Williams , Rupa S. Valdez
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Abstract

Addressing the social determinants of health (SDOH) is imperative to achieving health equity.

The field of human factors/ergonomics (HF/E) has started to consider SDOH in influencing patient work, but has not yet extensively encompassed SDOH in patient work system models. Using transportation access to maternal health services as a case study, this research sought to enhance the patient work system framework to include sub-factors specific to SDOH. Following a model of community-based participatory research, semi-structured interviews were conducted with 18 individuals who were pregnant within the last five years, identified as low-income, and identified as having one or more racial or ethnic minoritized identities. Thirty-three secondary themes and 28 tertiary themes were derived inductively under the deductive framework of the consolidated patient work system. Unique sub-factors of the patient work system were identified, expanding our current understanding of the dimensionalities of the patient work system. Sub-factors were mostly expanded in the domains of the physical and organizational environments. HF/E researchers and practitioners, in partnership with other disciplines and communities, should expand work system models to purposefully incorporate a range of work system factors that stem from SDOH. Extending these models produces a holistic view of systems, providing a better foundation to align design interventions with the contextual realities of marginalized populations who experience health inequities.

扩展人为因素/人体工程学,解决健康的社会决定因素:病人工效学方法促进出生公正
人类因素/工效学(HF/E)领域已开始考虑影响病人工作的社会决定健康因素,但尚未将社会决定健康因素广泛纳入病人工作系统模型。本研究以获得孕产妇保健服务的交通途径为案例,试图加强患者工作系统框架,以纳入专门针对 SDOH 的子因素。按照社区参与式研究的模式,研究人员对 18 名在过去五年内怀孕、被认定为低收入者以及被认定具有一种或多种种族或少数民族身份的人进行了半结构化访谈。在综合患者工作系统的演绎框架下,归纳出 33 个二级主题和 28 个三级主题。确定了病人工作系统的独特子因素,拓展了我们目前对病人工作系统各维度的理解。子因素主要在物理环境和组织环境领域得到扩展。健康与健康教育研究人员和从业人员应与其他学科和社区合作,扩展工作系统模型,有目的地纳入一系列源于 SDOH 的工作系统因素。扩展这些模型可产生系统的整体观,为根据经历健康不平等的边缘化人群的实际情况设计干预措施提供更好的基础。
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来源期刊
International Journal of Industrial Ergonomics
International Journal of Industrial Ergonomics 工程技术-工程:工业
CiteScore
6.40
自引率
12.90%
发文量
110
审稿时长
56 days
期刊介绍: The journal publishes original contributions that add to our understanding of the role of humans in today systems and the interactions thereof with various system components. The journal typically covers the following areas: industrial and occupational ergonomics, design of systems, tools and equipment, human performance measurement and modeling, human productivity, humans in technologically complex systems, and safety. The focus of the articles includes basic theoretical advances, applications, case studies, new methodologies and procedures; and empirical studies.
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