{"id":"https://openalex.org/W3102958102","doi":null,"title":"Bringing Health to Life: An Institutional Ethnography of the Social Determinants of Health Framework in a Maternal and Child Health Setting","display_name":"Bringing Health to Life: An Institutional Ethnography of the Social Determinants of Health Framework in a Maternal and Child Health Setting","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3102958102","mag":"3102958102"},"language":"en","primary_location":{"id":"pmh:oai:escholarship.org/ark:/13030/qt81b0993v","doi":null,"is_oa":false,"landing_page_url":"https://escholarship.org/uc/item/81b0993v","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"etd"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004813844","display_name":"Margaret Mary Downey","orcid":"https://orcid.org/0000-0002-9971-7882","observed_orcids":["https://orcid.org/0000-0002-9971-7882"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Margaret Mary Downey","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-9971-7882","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5004813844"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.7480000257492065,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.7480000257492065,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12041","display_name":"Public Health Policies and Education","score":0.08219999819993973,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.07729999721050262,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interprofessional-collaboration","display_name":"interprofessional collaboration","score":0.7429999709129333},{"id":"https://openalex.org/keywords/role-blurring","display_name":"role blurring","score":0.6299999952316284},{"id":"https://openalex.org/keywords/street-level-bureaucracy","display_name":"street-level bureaucracy","score":0.7149999737739563},{"id":"https://openalex.org/keywords/structural-racism","display_name":"structural racism","score":0.4009999930858612},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.5320000052452087},{"id":"https://openalex.org/keywords/economic-inequality","display_name":"economic inequality","score":0.45399999618530273},{"id":"https://openalex.org/keywords/health-equity-policy","display_name":"health equity policy","score":0.3089999854564667},{"id":"https://openalex.org/keywords/safety-net-hospitals","display_name":"safety-net hospitals","score":0.41999998688697815},{"id":"https://openalex.org/keywords/institutional-ethnography","display_name":"institutional ethnography","score":0.4749999940395355},{"id":"https://openalex.org/keywords/united-states-health-care-system","display_name":"United States health care system","score":0.3580000102519989},{"id":"https://openalex.org/keywords/low-birth-weight","display_name":"low birth weight","score":0.5109999775886536},{"id":"https://openalex.org/keywords/preterm-birth","display_name":"preterm birth","score":0.8529999852180481}],"concepts":[{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.6801626682281494},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5653814673423767},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.5550798177719116},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5399830341339111},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.4016953706741333},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.36075159907341003},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.33018237352371216},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.26588886976242065},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.08893787860870361}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:escholarship.org/ark:/13030/qt81b0993v","doi":null,"is_oa":false,"landing_page_url":"https://escholarship.org/uc/item/81b0993v","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"etd"},{"id":"mag:3102958102","doi":null,"is_oa":false,"landing_page_url":"https://escholarship.org/content/qt81b0993v/qt81b0993v.pdf?t=qhtt5q","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":47,"referenced_works":["https://openalex.org/W83209147","https://openalex.org/W567272894","https://openalex.org/W587945880","https://openalex.org/W605482748","https://openalex.org/W640679884","https://openalex.org/W1549766440","https://openalex.org/W1918981469","https://openalex.org/W1965172179","https://openalex.org/W1972034047","https://openalex.org/W1979906655","https://openalex.org/W2001204010","https://openalex.org/W2029207548","https://openalex.org/W2033446368","https://openalex.org/W2034417485","https://openalex.org/W2061276405","https://openalex.org/W2066047544","https://openalex.org/W2070164099","https://openalex.org/W2073347125","https://openalex.org/W2092184856","https://openalex.org/W2104988206","https://openalex.org/W2107387622","https://openalex.org/W2112602380","https://openalex.org/W2113830613","https://openalex.org/W2118432778","https://openalex.org/W2142190288","https://openalex.org/W2142686941","https://openalex.org/W2145776980","https://openalex.org/W2146641608","https://openalex.org/W2148514179","https://openalex.org/W2149759236","https://openalex.org/W2155310312","https://openalex.org/W2159861896","https://openalex.org/W2169749875","https://openalex.org/W2170013027","https://openalex.org/W2204124032","https://openalex.org/W2506167891","https://openalex.org/W2559421307","https://openalex.org/W2581419956","https://openalex.org/W2604702902","https://openalex.org/W2811449755","https://openalex.org/W2890219645","https://openalex.org/W2955010244","https://openalex.org/W2955151685","https://openalex.org/W2996163442","https://openalex.org/W3004595829","https://openalex.org/W3008619861","https://openalex.org/W3134001565"],"related_works":["https://openalex.org/W4377023580","https://openalex.org/W3102134380","https://openalex.org/W2306194262","https://openalex.org/W2883086892","https://openalex.org/W4379095213","https://openalex.org/W4308215746","https://openalex.org/W7207945150","https://openalex.org/W2937960989","https://openalex.org/W4389240802","https://openalex.org/W7023922903"],"abstract_inverted_index":{"Health":[0],"inequities,":[1],"or":[2,34,91,170,368,473,512,557],"avoidable":[3],"and":[4,16,20,29,42,65,112,125,130,195,204,247,258,271,291,297,306,309,334,359,366,375,421,424,433,454,480,501,518,532,542,570,582,586,613,619,628,634,656,660],"unjust":[5],"differences":[6],"in":[7,27,45,76,102,140,222,235,371,405,530,616],"health":[8,15,22,64,114,129,168,173,183,229,407,423,455,525,540,580,612,645],"status":[9],"across":[10],"groups,":[11],"arewidely":[12],"considered":[13],"public":[14,172],"social":[17,66,99,165,196,386,425,486,545,562,575,587,614,618],"problems.":[18],"Maternal":[19],"child":[21],"(MCH)inequities,":[23],"such":[24,148],"as":[25,55,287,289,329,482,576,578],"those":[26,597],"maternal":[28],"infant":[30],"mortality,":[31],"low":[32],"birthweight,":[33],"preterm":[35],"birth,":[36],"aresome":[37],"of":[38,62,82,127,163,167,179,193,249,267,316,349,384,390,398,419,447,467,552,560,596,603,611,651],"the":[39,46,49,60,98,123,161,164,171,177,232,236,243,313,336,353,369,391,399,417,451,461,465,474,492,513,520,527,550,594,599],"most":[40,600],"enduring":[41],"marked":[43],"inequities":[44,70,230,257,541,646],"US.":[47,237],"Given":[48],"way":[50],"that":[51,85,175,341,413,523,641],"MCH":[52,111,220,256,317,531],"outcomesare":[53],"used":[54],"a":[56,63,80,211,218,223,276,284,307,363,372,406,431,436,445,497,505,558],"metric":[57],"to":[58,72,240,295,312,332,351,355,440,476,494,503,509,516,643,663],"understand":[59,477,489],"functionality":[61],"service":[67,197,409,426,563,604],"system":[68],"overall,these":[69],"point":[71],"deep-seated":[73],"structural":[74,510],"issues":[75],"US":[77],"healthcare.":[78],"Additionally,":[79,622],"growingbody":[81],"literature":[83],"demonstrates":[84],"more":[86],"than":[87],"genetics,":[88],"individual":[89],"behavior,":[90],"even":[92],"quality":[93],"ofmedical":[94],"care,":[95],"it":[96,156,330],"is":[97,120,144,210,438,535,624],"determinants\u2014the":[100],"conditions":[101],"which":[103],"we":[104],"live,":[105],"learn,":[106],"work,":[107],"play,and":[108],"age\u2014that":[109],"determine":[110],"other":[113,533],"inequities.":[115,456],"Despite":[116],"this":[117,138,153,250,323],"growingacknowledgment,":[118],"little":[119],"known":[121,145],"about":[122,146,254],"role":[124,178],"experiences":[126,602,655],"frontline":[128,149,414,590,652],"socialservice":[131],"workers":[132,150,198,415],"who":[133,429,565],"are":[134,151,566],"charged":[135,199],"with":[136,200,362,460,491,598,630],"applying":[137],"knowledge":[139,154,627],"day-to-day":[141],"practice.":[142],"Moreover,little":[143],"how":[147,396],"shaping":[152,625],"when":[155],"\u201chits":[157],"thestreets.\u201dThis":[158],"dissertation":[159],"analyzes":[160],"enactment":[162],"determinants":[166],"(SDOH)framework,":[169],"framework":[174,376,453,463,529],"outlines":[176],"upstream":[180,521],"factors":[181,522],"indetermining":[182],"outcomes.":[184],"To":[185],"do":[186],"so,":[187],"I":[188,238,326,339,381,411,443,457,488,606,639],"conducted":[189],"an":[190,536,553],"institutional":[191,571],"ethnography":[192],"frontlinehealth":[194],"addressing":[201],"racial,":[202],"ethnic,":[203],"economic":[205],"MCHinequities.":[206],"My":[207],"field":[208],"site":[209],"mid-size":[212],"(approximately":[213],"90":[214],"employees)":[215],"non-profit":[216],"providing":[217],"rangeof":[219],"services":[221,615],"large,":[224],"West":[225],"Coast":[226],"City":[227],"where":[228],"reflect":[231],"broader":[233],"MCHinequities":[234],"sought":[239],"uncover":[241],"what":[242],"everyday":[244],"routines,":[245],"experiences,":[246],"practicedilemmas":[248],"workforce":[251,343],"could":[252],"reveal":[253],"tackling":[255],"implementing":[259],"theSDOH":[260],"framework.,":[261],"This":[262],"work":[263,592],"employed":[264],"discourse":[265],"analysis":[266,293,374],"agency":[268],"documents,":[269],"participantobservation,":[270],"semi-structured,":[272],"in-depth":[273],"interviews":[274],"throughout":[275],"nine-month":[277],"period":[278],"offieldwork.":[279],"Data":[280],"were":[281],"analyzed":[282],"using":[283],"grounded":[285],"theory":[286,305],"well":[288,577],"directed":[290],"conventionalcontent":[292],"approach":[294,311],"coding":[296],"theme":[298],"development.":[299],"Analysis":[300],"was":[301],"informed":[302],"by":[303],"streetlevelbureaucracy":[304],"materialist":[308],"structuralist":[310],"production":[314],"andamelioration":[315],"inequities.Several":[318],"primary":[319],"findings":[320],"emerged":[321],"from":[322,499,593],"study.":[324],"First,":[325],"explore":[327,444],"interprofessionalcollaboration":[328],"relates":[331],"enacting":[333],"animating":[335],"SDOH":[337,354,392,452,462,528,555,626],"framework.":[338,393],"find":[340,412],"thefrontline":[342],"relies":[344],"on":[345,388,496],"three":[346],"key":[347],"types":[348],"collaboration":[350,358,361],"bring":[352],"life:":[356],"withinagency":[357],"role-blurring,":[360],"safety-net":[364],"hospital,":[365],"commoncause,":[367],"engagement":[370,490],"shared":[373],"for":[377,658],"political":[378],"action.":[379],"Next,":[380],"explorethe":[382],"impact":[383],"prevailing":[385],"norms":[387],"implementation":[389],"Specifically,":[394],"Iconsider":[395],"definitions":[397],"private,":[400],"heteronormative,":[401],"nuclear":[402],"family":[403,432,437],"emerge":[404],"andsocial":[408],"setting.":[410],"negotiate":[416],"legacy":[418],"problematic":[420],"oftencontradictory":[422],"policies":[427],"regarding":[428,450],"constitutes":[430],"whenduring":[434],"pregnancy":[435],"understood":[439,649],"exist.":[441],"Finally,":[442],"continuum":[446,498],"frontlineprovider":[448],"perspectives":[449,657],"consider":[458],"providerengagement":[459],"through":[464],"lens":[466],"sociologist":[468],"C.":[469],"Wright":[470],"Mills\u2019\u201csociological":[471],"imagination,\u201d":[472],"ability":[475,515],"one\u2019s":[478],"actions":[479],"circumstances":[481],"partof":[483],"broad,":[484],"historically-contingent":[485],"forces.":[487],"SDOHframework":[493,548],"exist":[495],"apathy":[500],"burnout":[502],"possessing":[504],"sociologicalimagination,":[506],"and,":[507],"finally,":[508],"competency,":[511],"trained":[514],"analyze":[517],"interveneupon":[519],"produce":[524],"inequities.Enacting":[526],"settings":[534],"important":[537],"part":[538],"ofaddressing":[539],"ultimately,":[543,583],"ameliorating":[544],"disadvantage.":[546,588],"The":[547],"informs":[549],"development":[551],"emerging":[554],"workforce,":[556],"network":[559],"healthand":[561],"professionals":[564],"integrating":[567,617],"practice":[568,629],"systems":[569],"resourcesto":[572],"adequately":[573],"meet":[574],"physical":[579],"needs":[581],"address":[584],"healthinequities":[585],"Studying":[589],"SDOH-related":[591],"vantagepoint":[595],"intimate":[601],"delivery,":[605],"investigate":[607],"up":[608],"close":[609],"therole":[610],"clinical":[620],"care.":[621],"thisworkforce":[623],"their":[631],"daily":[632],"decisions":[633],"strategies":[635,642],"tomeet":[636],"client":[637],"need.":[638],"conclude":[640],"combat":[644],"must":[647],"be":[648],"interms":[650],"workers\u2019":[653],"lived":[654],"meaningful":[659],"impactfulpractice":[661],"change":[662],"occur.":[664]},"counts_by_year":[],"updated_date":"2026-08-26T07:47:46.906454","created_date":"2020-11-23T00:00:00"}
