Social Determinants of Health
Social determinants of health are the conditions in which people are born, grow, live, work and age. They include socioeconomic status, education, the physical environment, employment, and social support networks, as well as access to health care. Healthcare providers are increasingly responsible for reaching population health goals while reducing costs and need strategies to identify upstream socioeconomic drivers of poor outcomes and higher costs. Some effective strategies include:
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Screening patients to identify social needs
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Collecting and analyzing social determinants of health (SDOH) data and using it to inform interventions
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Collocating services or strengthening partnerships with other community agencies and organizations that serve the same populations
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Integrating home visits in the PCMH
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Assertive case management designed to meet a variety of patient needs
Social Determinants of Health Resources
Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business CaseCommonwealth Fund, March 2018 Addressing Social Determinants to Improve Patient Care and Promote Health Equity: An American College of Physicians Position Paper April 2018 Out of Reach: The High Cost of Housing, National Low Income Housing Coalition 2017 A Compass for Families: Head Start in Rural America Center for American Progress, April 10th2018 2018 County Health Rankings Key Findings Report Robert Wood Johnson Foundation 2018 Addressing Social Determinants Of Health Through Medical-Legal Partnerships Health Affairs, March 2018 FACHC Homeless, Housing Challenged, and Residents of Public Housing Resources Report spotlights 4 states that finance legal services thru Medicaid payments National Center for Medical-Legal Partnerships Screening for Health Harming Legal Needs National Center for Medical-Legal Partnerships Information Sharing for Medical-Legal Partnerships National Center for Medical-Legal Partnerships FQHC Partnerships for Food Access Case Studies NACHC The Social Determinants of Health Healthy People 2020 Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity Kaiser Family Foundation 2017 Progress In Achieving Health Equity Requires Attention To Root Causes, Health Affairs, June 2017 Emerging Trends Could Exacerbate Health Inequities In The United States, Health Affairs, June 2017 Health Equity Data Graphic, Health Affairs, June 2017 Housing, Transportation, And Food: How ACOs Seek To Improve Population Health By Addressing Nonmedical Needs Of Patients, Health Affairs, June 2017 A Conceptual Framework and Path for Integrating Social Determinants of Health into Primary Care Practice, Annals of Family Medicine Addressing the Social Determinants of Health Within the Patient-Centered Medical Home: Lessons from Pediatrics, Patient-Centered Primary Care Collaborative Addressing Patients’ Social Needs: An Emerging Business Case for Provider Investment The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) Powering Healthier Communities: Community Health Centers Address the Social Determinants of Health November 2010 Enabling services: Gateways to better care Infographic NACHC, May 2016
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For more information, contact Erin Sologaistoa at [email protected]
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