12228Yale School of Medicine, New Haven, CT, USA.
Ann and Robert H. Lurie Children's Hospital, Chicago, IL, USA.
Cleft Palate Craniofac J. 2022 Jul;59(7):938-945. doi: 10.1177/10556656211037510. Epub 2021 Sep 13.
Social determinants of health (SDOH) are integral to consider when delivering craniomaxillofacial and facial reconstructive care for patients. The American Cleft Palate-Craniofacial Association (ACPA) has instituted a formalized multidisciplinary care team model that recognizes such determinants and has aggregated patient-led organizations to strengthen patients' education and support system. This review discusses the need for all surgeons engaged in facial and craniomaxillofacial reconstruction to consider SDOH in their practice. Additionally, we explore how factors such as race, insurance status, education level, cost, and access to follow-up care, impact surgical care for craniosynostosis, facial trauma, orthognathic surgery, head and neck cancer, and facial paralysis. We propose that the ACPA team model be applied to other societies that care for the broader scope of patients in need of facial and craniomaxillofacial reconstruction to strengthen the communication, collaboration, and standardization of care delivery that is personalized to the needs of each patient.
在为患者提供颅颌面和面部重建护理时，社会决定因素（SDOH）是需要考虑的重要因素。美国腭裂颅面协会（ACPA）已经建立了一种正式的多学科护理团队模式，该模式认识到这些决定因素，并聚集了以患者为导向的组织，以加强患者的教育和支持系统。这篇综述讨论了所有从事面部和颅颌面重建的外科医生在实践中都需要考虑 SDOH 的必要性。此外，我们还探讨了种族、保险状况、教育水平、成本以及获得后续护理的机会等因素如何影响颅缝早闭、面部创伤、正颌外科、头颈部癌症和面瘫的手术护理。我们建议将 ACPA 团队模式应用于其他关注更广泛需要面部和颅颌面重建的患者的协会，以加强沟通、协作和个性化护理的标准化，以满足每位患者的需求。
