International Journal of Family Medicine / 2011 / Article / Figbox 1

Research Article

Development of a Tool to Identify Poverty in a Family Practice Setting: A Pilot Study

Box 1

Poverty interventions in family practice.
(i)   “Accessible” care that is continuous, nonpaternalistic, and patient centered
  [15, 20, 21]
(ii) Vigilance in prescription of lowest-cost generic medications [22]
(iii) Longer appointment times facilitating identification, treatment, and referral of
   at-risk families [23, 24]
(iv) Diligence around preventive and chronic illness care for low-income patients will
   lead them to use medical attention less often [2527]
(v) Mental health screening to address the significant underidentification of mental
   illness in low socioeconomic groups [23, 28]
(vi) Particular attention to adequate pain treatment for common chronic conditions
   for which low-income patients have reported inadequate treatment [23]
(vii) Addressing direct health impacts of indebtedness and financial insecurity such
   as sleeplessness, substance use, and depression [7]
(viii) Favourable billing schemes adjusted for income level and complex care [22]
(ix) Interactive and incentive-based physical activity and nutrition interventions [29]
(x) Integrated and home-based geriatric care management [30]
(xi) Increased coordination of interdisciplinary services to reduce use of institutional
   or inpatient services, and improve patient satisfaction [13, 20].