Trends in Internal Medicine
Open AccessSocial Determinants of Health and Barriers to Healthcare for an Adult with Spina Bifida
Authors: Dugan R, Zeitler CM, Merhavy ZI, Varkey TC, Martin C.
Abstract
Inequalities in healthcare access remain to be one of the largest predictors when it comes to a patient’s overall outcome. Patients with seemingly simple pathology can quickly spiral into a more complicated case when the barriers to healthcare prohibit them from receiving the care they desperately need in a preventive and comprehensive manner. Many of these barriers are out of the control of the patient and are further fueled by various social determinants. This case report explores some of the systemic shortcomings of modern medicine through the lens of a patient with spina bifida, a neural tube defect that often results in numerous comorbid pathologies. Further discussion of potential solutions to these barriers are presented by clinical pearls in the use of holistic approaches to healthcare when treating patients with complex medical history.
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