Professionalism as an Individual and Part of a Team: Difference between revisions
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'''Original Editor '''- [[User: | '''Original Editor '''- [[User:Wanda van Niekerk|Wanda van Niekerk]] based on the course by [https://members.physio-pedia.com/instructor/benita-olivier// Benita Olivier]<br> | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Interprofessional Collaboration Beyond Boundaries == | == Interprofessional Collaboration Beyond Boundaries == | ||
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* Interprofessional collaboration | * Interprofessional collaboration | ||
** “Consistent demonstration of core values evidenced by professionals working together, aspiring to, and wisely applying principles of altruism and caring, excellence, ethics, respect, communication and accountability to achieve optimal health and wellness in individuals and communities” as defined by the Interprofessional Professionalism Collaboration (IPC) | ** “Consistent demonstration of core values evidenced by professionals working together, aspiring to, and wisely applying principles of altruism and caring, excellence, ethics, respect, communication and accountability to achieve optimal health and wellness in individuals and communities” as defined by the Interprofessional Professionalism Collaboration (IPC)<ref>Frost JS, Hammer DP, Nunez LM, Adams JL, Chesluk B, Grus C, Harvison N, McGuinn K, Mortensen L, Nishimoto JH, Palatta A. The intersection of professionalism and interprofessional care: development and initial testing of the interprofessional professionalism assessment (IPA). Journal of interprofessional care. 2019 Jan 2;33(1):102-15.</ref> | ||
* Transdisciplinary professionalism | * Transdisciplinary professionalism | ||
** “an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public in order to improve the health of patients and their communities” <ref>Cuff PA, editor. [https://www.ncbi.nlm.nih.gov/books/NBK216353/ Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary.] National Academies Press; 2014 Apr 7.</ref> | ** “an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public in order to improve the health of patients and their communities”<ref>Cuff PA, editor. [https://www.ncbi.nlm.nih.gov/books/NBK216353/ Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary.] National Academies Press; 2014 Apr 7.</ref> | ||
Read more about the attributes and behaviours of professionalism [[Professionalism in Healthcare|here]]. | Read more about the attributes and behaviours of professionalism [[Professionalism in Healthcare|here]]. | ||
If you'd like you can refresh your memory about examples and drivers of unprofessional behaviour [[Professionalism in Healthcare#Attributes and Behaviours of Professionalism|here]]. | If you'd like, you can refresh your memory about examples and drivers of unprofessional behaviour [[Professionalism in Healthcare#Attributes and Behaviours of Professionalism|here]]. | ||
=== | === Achieving Interprofessional Collaboration === | ||
All healthcare professionals need to recognise the value of each profession's knowledge and skills. Every professional's contribution should be deemed essential to the care of a patient. This means that barriers such as "stereotyping, professional/interdepartmental silos, hierarchical perceptions and turf wars"<ref name=":0" /> between professions should be addressed. This will help create a collaborative environment. All healthcare professionals (students, professionals and healthcare systems) need to be on this journey of working together.<ref name=":0">Khalili H, Price SL. From uniprofessionality to interprofessionality: dual vs duelling identities in healthcare. Journal of Interprofessional Care. 2022 May 4;36(3):473-8.</ref> | |||
=== Key Principles | === Key Principles for Interprofessional Collaboration === | ||
Some key principles to consider are<ref name=":5">Olivier, B. Professionalism as an Individual and as Part of a Team. Plus. Course. 2024</ref>: | Some key principles to consider are<ref name=":5">Olivier, B. Professionalism as an Individual and as Part of a Team. Plus. Course. 2024</ref>: | ||
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* mutual trust | * mutual trust | ||
The Sunnybrook framework of core competencies for interprofessional team collaboration identifies six core competencies<ref name=":2">McLaney E, Morassaei S, Hughes L, Davies R, Campbell M, Di Prospero L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873279/pdf/10.1177_08404704211063584.pdf A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours.] InHealthcare management forum 2022 Mar (Vol. 35, No. 2, pp. 112-117). Sage CA: Los Angeles, CA: SAGE Publications.</ref>: | The Sunnybrook framework of core competencies for interprofessional team collaboration identifies six core competencies (see table below)<ref name=":2">McLaney E, Morassaei S, Hughes L, Davies R, Campbell M, Di Prospero L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873279/pdf/10.1177_08404704211063584.pdf A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours.] InHealthcare management forum 2022 Mar (Vol. 35, No. 2, pp. 112-117). Sage CA: Los Angeles, CA: SAGE Publications.</ref>: | ||
{| class="wikitable" | {| class="wikitable" | ||
|+Core Competencies for Interprofessional Collaboration (adapted from McLaney et al., 2022<ref name=":2" />) | |+Core Competencies for Interprofessional Collaboration (adapted from McLaney et al., 2022<ref name=":2" />) | ||
!Competency | !Competency | ||
!Definition | !Definition | ||
!Suggested | !Suggested strategies for team members | ||
|- | |- | ||
|Communication | |Communication | ||
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* Information exchange in a specific and timely manner within and across a team – develop processes for this | * Information exchange in a specific and timely manner within and across a team – develop processes for this | ||
* Know which team members should be involved in information exchange and | * Know which team members should be involved in information exchange and know what information should be exchanged | ||
* Use language that is common among the different professions, avoid jargon | * Use language that is common among the different professions, avoid jargon and acronyms, and explain and make sure all team members understand | ||
|- | |- | ||
|Interprofessional conflict resolution | |Interprofessional conflict resolution | ||
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| | | | ||
* Proactively and effectively address conflict | * Proactively and effectively address conflict | ||
* Be an | * Be an open-minded listener to different opinions and ideas from diverse professions | ||
* Difficult issues should be discussed and mutual ground and solutions found | * Difficult issues should be discussed and mutual ground and solutions found | ||
|- | |- | ||
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|"Interprofessional teams decide collaboratively on plans. Team members come together to determine appropriate actions. Where necessary, teams decide who will make the final decision and who holds accountability for which tasks."<ref name=":2" /> | |"Interprofessional teams decide collaboratively on plans. Team members come together to determine appropriate actions. Where necessary, teams decide who will make the final decision and who holds accountability for which tasks."<ref name=":2" /> | ||
| | | | ||
* | * Interprofessional care plans in the best interests of patients and families/carers should be created | ||
* | * There should be collaborative decision-making on learning goals across all professions | ||
* Accountability should be identified and designated, especially where there is a role overlap between professions | * Accountability should be identified and designated, especially where there is a role overlap between professions | ||
|- | |- | ||
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* Have processes and tools in place for reflection | * Have processes and tools in place for reflection | ||
* Celebrate successes | * Celebrate successes | ||
* Strategise to address gaps in | * Strategise to address gaps in collaborations | ||
* Appraise how the team is doing by using concepts | * Appraise how the team is doing by using concepts, such as team development and team dynamics | ||
|- | |- | ||
|Role clarification | |Role clarification | ||
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|- | |- | ||
|Interprofessional values and ethics | |Interprofessional values and ethics | ||
|Interprofessional teams create a climate of transparency, openness and willingness to collaborate. They maintain an inclusive approach and every team member’s perspective is valued.<ref name=":2" /> | |"Interprofessional teams create a climate of transparency, openness and willingness to collaborate. They maintain an inclusive approach and every team member’s perspective is valued."<ref name=":2" /> | ||
| | | | ||
* Professionals speak with positive regard when discussing the roles and professions of other team members | * Professionals should speak with positive regard when discussing the roles and professions of other team members | ||
* | * Aim to provide a safe environment for professionals to speak up | ||
* | * Acknowledge and consider "the values and ethics of the organisation, regulatory bodies and team members in team discussions"<ref name=":2" /> | ||
|} | |} | ||
== Cultural Competence and Sensitivity == | == Cultural Competence and Sensitivity == | ||
Cultural competence in healthcare is the ability of healthcare providers to deliver high-quality care to patients from diverse cultural backgrounds. It involves understanding and respecting the cultural differences, values, beliefs, and practices of patients and their families, and adapting healthcare services to meet their unique needs.<ref name=":3">CK, Huang MC. Cultural competence of healthcare providers: A systematic review of assessment instruments. Journal of Nursing Research. 2017 Jun 1;25(3):174-86.</ref> “It is an encompassing open-mindedness and respect for people, families and societies of various cultural backgrounds.” <ref name=":3" /> | Cultural competence in healthcare is the ability of healthcare providers to deliver high-quality care to patients from diverse cultural backgrounds. It involves understanding and respecting the cultural differences, values, beliefs, and practices of patients and their families, and adapting healthcare services to meet their unique needs.<ref name=":3">CK, Huang MC. Cultural competence of healthcare providers: A systematic review of assessment instruments. Journal of Nursing Research. 2017 Jun 1;25(3):174-86.</ref> “It is an encompassing open-mindedness and respect for people, families and societies of various cultural backgrounds.”<ref name=":3" /> | ||
Healthcare providers need to be aware of their own cultural biases and assumptions, as well as those of their patients, and to communicate effectively across cultural boundaries. Providing care that is sensitive to the cultural nuances of patients, including their language, customs and values is essential in healthcare. It can '''improve health outcomes''', '''increase patient satisfaction''' and '''reduce health disparities'''. | Healthcare providers need to be aware of their own cultural biases and assumptions, as well as those of their patients, and to communicate effectively across cultural boundaries. Providing care that is sensitive to the cultural nuances of patients, including their language, customs and values is essential in healthcare. It can '''improve health outcomes''', '''increase patient satisfaction''' and '''reduce health disparities'''. | ||
If you | If you would like to learn more, you can read more about: | ||
* [[Cultural Competence and Access to Healthcare for Displaced Persons]] | * [[Cultural Competence and Access to Healthcare for Displaced Persons]] | ||
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{{#ev:youtube|2ugzWjl2tv0|300}}<ref>Caregiving Network. Cultural Competence. Available from: https://www.youtube.com/watch?v=2ugzWjl2tv0 [last accessed 10/05/2024]</ref> | {{#ev:youtube|2ugzWjl2tv0|300}}<ref>Caregiving Network. Cultural Competence. Available from: https://www.youtube.com/watch?v=2ugzWjl2tv0 [last accessed 10/05/2024]</ref> | ||
=== Key Principles | === Key Principles When Working with Different Cultures === | ||
Principles to consider when providing healthcare to different cultures include: | Principles to consider when providing healthcare to different cultures include: | ||
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=== Strategies to Foster Cultural Competence === | === Strategies to Foster Cultural Competence === | ||
The following strategies can help foster cultural competence: | |||
* | * cultural competence training<ref>Young S, Guo KL. Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager. 2020 Apr 1;39(2):100-8.</ref> | ||
* | * diverse workforce and inclusive practices<ref name=":4" /> | ||
* | * language services and communication tools<ref name=":4" /> | ||
{{#ev:youtube|5_su7i9T9_M|300}}<ref>CSUN Family Focus Resource Center. Part 3: Cultural Competence Strategies. Available from: https://www.youtube.com/watch?v=5_su7i9T9_M[last accessed 10/05/2024]</ref> | {{#ev:youtube|5_su7i9T9_M|300}}<ref>CSUN Family Focus Resource Center. Part 3: Cultural Competence Strategies. Available from: https://www.youtube.com/watch?v=5_su7i9T9_M[last accessed 10/05/2024]</ref> | ||
== Navigating Regulations, Licensing and Ethical Standards == | == Navigating Regulations, Licensing and Ethical Standards == | ||
Reasons | Reasons to adhere to regulations, licensing and ethical standards include<ref>Pozgar GD. Legal and ethical issues for health professionals. Jones & Bartlett Learning; 2023 Mar 31.</ref>: | ||
* patient safety and quality of care | * patient safety and quality of care | ||
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* codes of [[ethics]] | * codes of [[ethics]] | ||
** | ** if you'd like to learn more, you can read about: | ||
*** [[Ethics, Principles and Values]] | *** [[Ethics, Principles and Values]] | ||
*** [[Ethical Issues in Private Practice Settings|Ethical Issues in Private Practice Setting]] | *** [[Ethical Issues in Private Practice Settings|Ethical Issues in Private Practice Setting]] | ||
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* enhanced team dynamics | * enhanced team dynamics | ||
* colleagues feeling that their work is more meaningful and purposeful<ref name=":6" /> | * colleagues feeling that their work is more meaningful and purposeful<ref name=":6" /> | ||
* improved patient- | * improved patient-centred care | ||
== Social Responsibility == | == Social Responsibility == | ||
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* neighbourhood and built environment | * neighbourhood and built environment | ||
Read more about social determinants of health | Read more about social determinants of health [[Determinants of Health|here]]. | ||
=== Socially Responsible Healthcare Professionals === | |||
Some strategies to become a socially responsible healthcare professional include<ref name=":5" />: | |||
* having a proactive approach to preventative healthcare and public health education | |||
* engaging with your local communities | |||
* advocating for policies that promote health equity, access to care and social justice | |||
* engaging in global health initiatives | |||
* embracing cultural competence | |||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Course Pages]] | |||
[[Category:ReLAB-HS Course Page]] | |||
[[Category:Professional Skills]] |
Latest revision as of 04:14, 31 May 2024
Original Editor - Wanda van Niekerk based on the course by Benita Olivier
Top Contributors - Wanda van Niekerk and Jess Bell
Interprofessional Collaboration Beyond Boundaries[edit | edit source]
Definitions of Different Types of Collaboration[edit | edit source]
- Multiprofessional collaboration
- different professions working alongside one another
- Interprofessional collaboration
- “Consistent demonstration of core values evidenced by professionals working together, aspiring to, and wisely applying principles of altruism and caring, excellence, ethics, respect, communication and accountability to achieve optimal health and wellness in individuals and communities” as defined by the Interprofessional Professionalism Collaboration (IPC)[1]
- Transdisciplinary professionalism
- “an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public in order to improve the health of patients and their communities”[2]
Read more about the attributes and behaviours of professionalism here.
If you'd like, you can refresh your memory about examples and drivers of unprofessional behaviour here.
Achieving Interprofessional Collaboration[edit | edit source]
All healthcare professionals need to recognise the value of each profession's knowledge and skills. Every professional's contribution should be deemed essential to the care of a patient. This means that barriers such as "stereotyping, professional/interdepartmental silos, hierarchical perceptions and turf wars"[3] between professions should be addressed. This will help create a collaborative environment. All healthcare professionals (students, professionals and healthcare systems) need to be on this journey of working together.[3]
Key Principles for Interprofessional Collaboration[edit | edit source]
Some key principles to consider are[4]:
- mutual respect for all team members[5]
- communication should be open and effective[5]
- shared-decision making involves all team members in the decision-making process
Other important principles include[6]:
- responsibility
- accountability
- coordination
- cooperation
- assertiveness
- autonomy
- mutual trust
The Sunnybrook framework of core competencies for interprofessional team collaboration identifies six core competencies (see table below)[7]:
Competency | Definition | Suggested strategies for team members |
---|---|---|
Communication | "Interprofessional teams seek to achieve common understanding when communicating across roles and professions. They are attentive to actively providing information to and seeking information from team members and other teams to ensure a thorough understanding of the situation. They create processes and tools and select varied media/approaches to enhance the exchange of information within and across teams."[7] |
|
Interprofessional conflict resolution | "Interprofessional teams respond to anticipated or occurring conflict situations with appropriate and skilled interventions in a timely manner by collaborating to create a range of solutions."[7] |
|
Shared decision-making | "Interprofessional teams decide collaboratively on plans. Team members come together to determine appropriate actions. Where necessary, teams decide who will make the final decision and who holds accountability for which tasks."[7] |
|
Reflection | "Interprofessional teams learn from their history and experiences. Team reflection is both process and performance-oriented. Team members identify what they are doing well and what can be improved. They are attentive to optimizing how they interact with one another and the impact that their team function may have on patient care/collective work."[7] |
|
Role clarification | "Interprofessional teams ensure that members understand each other’s roles, scopes, and expertise. They explore interdependencies between their roles and optimize each member’s scope with consideration of repetition and redundancies."[7] |
|
Interprofessional values and ethics | "Interprofessional teams create a climate of transparency, openness and willingness to collaborate. They maintain an inclusive approach and every team member’s perspective is valued."[7] |
|
Cultural Competence and Sensitivity[edit | edit source]
Cultural competence in healthcare is the ability of healthcare providers to deliver high-quality care to patients from diverse cultural backgrounds. It involves understanding and respecting the cultural differences, values, beliefs, and practices of patients and their families, and adapting healthcare services to meet their unique needs.[8] “It is an encompassing open-mindedness and respect for people, families and societies of various cultural backgrounds.”[8]
Healthcare providers need to be aware of their own cultural biases and assumptions, as well as those of their patients, and to communicate effectively across cultural boundaries. Providing care that is sensitive to the cultural nuances of patients, including their language, customs and values is essential in healthcare. It can improve health outcomes, increase patient satisfaction and reduce health disparities.
If you would like to learn more, you can read more about:
- Cultural Competence and Access to Healthcare for Displaced Persons
- Cultural Competence in Rehabilitation
- Culture and Communication
- Implicit Bias in Healthcare
Key Principles When Working with Different Cultures[edit | edit source]
Principles to consider when providing healthcare to different cultures include:
- self-awareness[10]
- cultural knowledge and awareness[11]
- respectful communication[12]
- collaborative care[13]
Strategies to Foster Cultural Competence[edit | edit source]
The following strategies can help foster cultural competence:
- cultural competence training[14]
- diverse workforce and inclusive practices[11]
- language services and communication tools[11]
[edit | edit source]
Reasons to adhere to regulations, licensing and ethical standards include[16]:
- patient safety and quality of care
- professional integrity and trust
[edit | edit source]
Ways to navigate regulatory frameworks include[4]:
- understanding the regulatory bodies relevant to your profession
- being informed about licensing requirements
Ethical Standards[edit | edit source]
Ethical standards in healthcare can include the following:
- codes of ethics
- if you'd like to learn more, you can read about:
- informed consent and confidentiality[17]
- conflict of interest management
- professionalism and accountability
- continuous professional development
Respect for Your Profession and Workplace[edit | edit source]
Professional respect means treating others, yourself and your profession with courtesy, dignity and esteem. It means that your colleagues feel that their skills, experience and knowledge are valued.[18] Working in an environment where professional respect is present can lead to:
- enhanced team dynamics
- colleagues feeling that their work is more meaningful and purposeful[18]
- improved patient-centred care
Social Responsibility[edit | edit source]
Social responsibility in healthcare is the professional duty of healthcare professionals to impact and improve the health of their society.[19] This includes[19]:
- diagnosing the social causes of disparities in health outcomes
- providing local and systemic interventions
Social determinants of health are defined as the circumstances in which humans are born, develop, live, earn and age. The distribution of money, power and resources influences these circumstances.[20] These circumstances include[20]:
- education access and quality
- social and community context
- food security
- economic stability
- healthcare access and quality
- neighbourhood and built environment
Read more about social determinants of health here.
Socially Responsible Healthcare Professionals[edit | edit source]
Some strategies to become a socially responsible healthcare professional include[4]:
- having a proactive approach to preventative healthcare and public health education
- engaging with your local communities
- advocating for policies that promote health equity, access to care and social justice
- engaging in global health initiatives
- embracing cultural competence
References[edit | edit source]
- ↑ Frost JS, Hammer DP, Nunez LM, Adams JL, Chesluk B, Grus C, Harvison N, McGuinn K, Mortensen L, Nishimoto JH, Palatta A. The intersection of professionalism and interprofessional care: development and initial testing of the interprofessional professionalism assessment (IPA). Journal of interprofessional care. 2019 Jan 2;33(1):102-15.
- ↑ Cuff PA, editor. Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary. National Academies Press; 2014 Apr 7.
- ↑ 3.0 3.1 Khalili H, Price SL. From uniprofessionality to interprofessionality: dual vs duelling identities in healthcare. Journal of Interprofessional Care. 2022 May 4;36(3):473-8.
- ↑ 4.0 4.1 4.2 Olivier, B. Professionalism as an Individual and as Part of a Team. Plus. Course. 2024
- ↑ 5.0 5.1 Saragih ID, Hsiao CT, Fann WC, Hsu CM, Saragih IS, Lee BO. Impacts of interprofessional education on collaborative practice of healthcare professionals: A systematic review and meta-analysis. Nurse Education Today. 2024 Feb 23:106136.
- ↑ Seaton J, Jones A, Johnston C, Francis K. Allied health professionals’ perceptions of interprofessional collaboration in primary health care: an integrative review. Journal of Interprofessional Care. 2021 Mar 4;35(2):217-28.
- ↑ 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 McLaney E, Morassaei S, Hughes L, Davies R, Campbell M, Di Prospero L. A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. InHealthcare management forum 2022 Mar (Vol. 35, No. 2, pp. 112-117). Sage CA: Los Angeles, CA: SAGE Publications.
- ↑ 8.0 8.1 CK, Huang MC. Cultural competence of healthcare providers: A systematic review of assessment instruments. Journal of Nursing Research. 2017 Jun 1;25(3):174-86.
- ↑ Caregiving Network. Cultural Competence. Available from: https://www.youtube.com/watch?v=2ugzWjl2tv0 [last accessed 10/05/2024]
- ↑ White AA, Logghe HJ, Goodenough DA, Barnes LL, Hallward A, Allen IM, Green DW, Krupat E, Llerena-Quinn R. Self-awareness and cultural identity as an effort to reduce bias in medicine. Journal of Racial and Ethnic Health Disparities. 2018 Feb;5:34-49.
- ↑ 11.0 11.1 11.2 Bakaa N, Southerst D, Mior S, Côté P, Carlesso L, MacDermid J, Macedo L. Assessing diversity and cultural competency among Canadian physiotherapists: a cross-sectional survey Part 1. Physiotherapy Canada. 2024 Jan 15:e20220119.
- ↑ Henderson S, Horne M, Hills R, Kendall E. Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community. 2018 Jul;26(4):590-603.
- ↑ Cahn PS. How interprofessional collaborative practice can help dismantle systemic racism. Journal of Interprofessional Care. 2020 Jul 3;34(4):431-4.
- ↑ Young S, Guo KL. Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager. 2020 Apr 1;39(2):100-8.
- ↑ CSUN Family Focus Resource Center. Part 3: Cultural Competence Strategies. Available from: https://www.youtube.com/watch?v=5_su7i9T9_M[last accessed 10/05/2024]
- ↑ Pozgar GD. Legal and ethical issues for health professionals. Jones & Bartlett Learning; 2023 Mar 31.
- ↑ Varkey B. Principles of clinical ethics and their application to practice. Medical Principles and Practice. 2021 Jun 4;30(1):17-28.
- ↑ 18.0 18.1 Zhou Q, Sacramento C, Martinaityte I. Work meaningfulness and performance among healthcare professionals: The role of professional respect and participative management. Journal of Business Research. 2023 Aug 1;163:113908.
- ↑ 19.0 19.1 Janeway M, Wilson S, Sanchez SE, Arora TK, Dechert T. Citizenship and social responsibility in surgery: a review. JAMA surgery. 2022 Jun 1;157(6):532-9.
- ↑ 20.0 20.1 Chelak K, Chakole S. The Role of Social Determinants of Health in Promoting Health Equality: A Narrative Review. Cureus. 2023 Jan 5;15(1).