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Social Accountability in Practice and Advocacy: The College of Family Physicians of Canada
Actions› The Social Accountability Working Group was created, made up of family physicians active in this area • In 2017 the group welcomed two community representatives with lived experience of negative social determinants of health
› A tool focused on the Social Determinants of Health was created within the Patient’s Medical Home—the CFPC’s vision for the future of family medicine in Canada. The document, used throughout Canada and internationally, contains practical advice on what physicians can do to promote social accountability through their practices.
› A Social Justice Lens tool was created and applied throughout the organization by all Committees to stimulate adoption of and reflection on the Social Accountability/Social Justice principles as part of our work
›The CFPC focused on a Poverty Screening Tool, created in Ontario, to facilitate assessment of a patient’s income insecurity. Versions of this tool were created for all Canadian provinces and territories
› With the help of the Indigenous Health Working Group, the CFPC released the document Health and Health Care Implications of Systemic Racism on Indigenous Peoples in Canada
Dr. Francine Lemire, Artem Safarov
1. Micro: The clinical environment;encompasses both the individual family physician–patient relationship and the interprofessional, team-based care setting.
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The Levels of Socially Accountable Care
2.Meso: The local community; the geographic context in which clinical and academic medical work are situated. Includes education, training, and continuing professional development (CPD).
3. Macro: The broader realm of policies and their impact on population and public health, where family physicians act as advocates for healthy public policy.
If you have questions regarding the initiatives described here please contact Artem Safarov at [email protected] or visit www.cfpc.ca/sdh.
In recent member poll
more than three quarters of respondents felt social determinants of health should be a primary or significant area of advocacy for the college.
63% of respondents see a role in advocating for policy changes that would improve health of their patients.
BackgroundThe College of Family Physicians of Canada (CFPC) represents over 37,000 members and is the voice of family medicine in Canada.
Objective 2.2 of the CFPC’s 2017-2022 Strategic Plan is to “Advocate for equitable health outcomes for vulnerable/marginalized groups, including (but not limited to) Indigenous, rural, and remote populations.”
The CFPC set out to identify social accountability issues relevant to family medicine and create resources that would help address these issues.
Outcomes and Next StepsThe creation of the Best Advice Guide and the Social Justice Lens are contributing to a well-defined and well-supported philosophy of acknowledging and addressing issues of social accountability in all areas of the College’s work.
There is a focus on Social Accountability and Indigenous Health in family medicine residency—the CFPC is working to define the standards to ensure family physicians are equipped to meet the evolving needs of Canada’s vulnerable communities. This work is done through the ongoing revision of foundational documents such as the CanMEDS-FM Competency Framework and Accreditation Standards.
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