Taveras Engages Communities to Make a Lasting Impact on Child Health

Imagine you are a pediatric clinician in an urban community health center. You notice that the majority of your patients have the same triad of conditions—obesity, asthma and behavioral health problems.

You can encourage your patients to lose weight, prescribe asthma medication or connect them with psychiatric services, all of which may help the symptoms, but not the root cause. What can you do in the short time you have with each patient to address the determinants of these conditions?

This is the question Elsie Taveras, MD, MPH, Ofer and Shelly Nemirovsky MGH Research Scholar, chief of General Pediatrics at MassGeneral Hospital for Children, and Executive Director of the Kraft Center for Community Health, confronted while completing her pediatric residency in a Boston clinic serving inner-city youth.

"I started realizing that, although much of my work was providing one-on-one patient care for these conditions, so many of the determinants of the health and well-being of the children I cared for had more to do with their social and environmental conditions and not their clinical care," says Taveras.

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