Human-centered design in the context of social determinants of health in maternity care: methods for meaningful stakeholder engagement

Purpose: The screening process for social determinants of health (SDoH) includes questions regarding life circumstances and barriers to accessing health care. For patients, these questions may be intrusive, biased, and potentially risky. This article describes human-centered design methods to engage birthing parents and health care team members around SDoH screening and referral in maternity care. Methods: Three phases of qualitative research with birthing parents, health care teams, and hospital administrators were conducted in the United States. Shadowing, interviews, focus groups, and participatory workshops addressed the explicit and tacit concerns of the stakeholders regarding SDoH during maternity care. Results: Birthing parents wanted to be informed of the purpose of the clinic collecting SDoH information and how this information is used. Health care teams want to feel they are providing reliable and quality resources to their patients. They would like greater transparency that administrators are acting on SDoH data and the information is reaching people that can assist patients. Conclusion: As clinics implement patient-centered strategies for addressing SDoH in maternity care, it is important to include patients' perspectives. This human-centered design approach advances understanding of knowledge and emotional needs around SDoH and offers insights to meaningful engagement around sensitive health data.

Automated summary

This article describes the use of human-centered design methods to engage birthing parents and healthcare team members in screening and referral for social determinants of health (SDoH) in maternity care. The results show that birthing parents want to be informed about the purpose and use of SDoH data collection, while healthcare teams want to provide reliable resources and greater transparency from administrators. It is important to include patients' perspectives in patient-centered strategies for addressing SDoH in maternity care.