Expanding on the concept of patient-centered care, it is also important to take into consideration both the patient's proximal context (e.g., family supports) and distal context (e.g., socioeconomic status) when exploring the SDoHs in relation to hypoglycemia and diabetes (Stewart et al., 2014).
These reflect many of the same SDoHs raised by our participants and require attention by HCPs caring for patients who experience hypoglycemia.
Finally, patients' perceptions of the impact of SDoHs on hypoglycemia management require future study.
Using a qualitative approach, this study revealed that HCPs appreciate the impact of the SDoHs on their patients' abilities to manage not only diabetes but also the potential adverse event of diabetes management: hypoglycemia.
Economic stability or socioeconomic status (SES) has been extensively studied as a SDoH that influences the prevalence of diabetes (Connolly, Unwin, Sherriff, Bilous, & Kelly, 2000; Evans, Newton, Ruta, MacDonald, & Morris, 2000) and its role on glycemic control (Borschuk & Everhart, 2015; Khanolkar et al., 2016; Walker, Gebregziabher, et al., 2014b; Walker, Smalls, et al., 2014; Walker, Smalls, & Egede, 2015).
The link between psychosocial issues as a SDoH, specifically depression and glycemic control, is well established (Ali, Stone, Peters, Davies, & Khunti, 2006; Barnard, Skinner, & Peveler, 2006; Chiu, Wray, Beverly, & Dominic, 2010; de Groot, Anderson, Freedland, Clouse, & Lustman, 2001; Fisher et al., 2008).
asking about and addressing SDOHs is within our job descriptions remains
clinical impact of screening and addressing SDOHs. If the evidence
clinicians should have in addressing SDOHs or training other staff to
address SDOHs. Many of the pilot projects to date have relied on
some SDOHs will need a more personal touch such as issues of social
statement recommending that 12 SDOH domains be routinely collected and