Courtney C. Rogers , Sophia S. Jang , Whitney Tidwell , Sarah Shaughnessy , Fern R. Hauck , Ishan C. Williams , Rupa S. Valdez
{"title":"Expanding human factors/ergonomics to address social determinants of health: A patient ergonomics approach to birth justice","authors":"Courtney C. Rogers , Sophia S. Jang , Whitney Tidwell , Sarah Shaughnessy , Fern R. Hauck , Ishan C. Williams , Rupa S. Valdez","doi":"10.1016/j.ergon.2023.103528","DOIUrl":null,"url":null,"abstract":"<div><p>Addressing the social determinants of health (SDOH) is imperative to achieving health equity.</p><p>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.</p></div>","PeriodicalId":50317,"journal":{"name":"International Journal of Industrial Ergonomics","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0169814123001208/pdfft?md5=2d4d6c52562f819911c0b035b618d3b9&pid=1-s2.0-S0169814123001208-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Industrial Ergonomics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0169814123001208","RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, INDUSTRIAL","Score":null,"Total":0}
引用次数: 0
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.
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.