PT  - JOURNAL ARTICLE
AU  - Junki Mizumoto
AU  - Toshichika Mitsuyama
AU  - Masato Eto
AU  - Masashi Izumiya
AU  - Shoko Horita
TI  - Primary care physicians’ perceptions of social determinants of health recommendations: a qualitative study
AID  - 10.3399/BJGPO.2022.0129
DP  - 2023 Mar 01
TA  - BJGP Open
PG  - BJGPO.2022.0129
VI  - 7
IP  - 1
4099  - http://bjgpopen.org/content/7/1/BJGPO.2022.0129.short
4100  - http://bjgpopen.org/content/7/1/BJGPO.2022.0129.full
SO  - BJGP Open2023 Mar 01; 7
AB  - Background Several organisations have called for primary care professionals to address social determinants of health (SDoH) in clinical settings. For primary care physicians to fulfill their community health responsibilities, the implications of the SDoH recommendations need to be clarified.Aim To describe primary care physicians’ views about being asked to address SDoH in clinical settings, from both positive and negative perspectives.Design & setting A qualitative study in Japan. Twenty-one physicians were purposively recruited.Method ‘Love and breakup letter’ methodology was used to collect qualitative data that contained both positive and negative feelings. Participants wrote love and breakup letters about being asked to address SDoH in a clinical setting, then undertook an in-depth online interview. Data were analysed via thematic analysis using the framework approach.Results The following themes were identified: (i) primary care physicians take pride in being expected to address SDoH; (ii) primary care physicians rely on the recommendations as a partner, even in difficult situations; (iii) primary care physicians consider the recommendations to be bothersome, with unreasonable demands and challenges, especially when supportive surroundings are lacking; and (iv) primary care physicians reconstruct the recommendations on the basis of their experience.Conclusion Primary care physicians felt both sympathy and antipathy towards recommendations asking them to address SDoH in their clinical practice. The recommendations were not followed literally, instead contributing to physicians’ clinical mindlines. Professional organisations that plan to develop and publish recommendations about SDoH should consider how their recommendations might be perceived by their target audience.