Health Disparities & Social Determinants of Health (SDOH)

As patients enter the healthcare system, primary care is typically their first stop. Because of this, primary care clinicians have a unique opportunity to develop relationships with patients and communities. This also enables them to get a glimpse of the hardships that a particular patient or group of patients is dealing with and see how that can affect their overall well-being. As the healthcare system, and primary care in particular, shifts away from a transactional system, to one more focused on high quality, comprehensive care, these outside factors that often play a significant role in patients’ lives must be accounted for. 

 

The CDC defines health disparities as preventable differences in the burden of disease, injury, violence or opportunities to achieve optimal health that are experienced by socially disadvantaged populations. It defines the social determinants of health as conditions in the places where people live, learn, work, and play. While several of these factors or locations fall out of the traditional sphere of primary care, a well-organized and coordinated primary care team should have the resources to help patients beyond their medical needs. 

Resources

Substance Abuse and Mental Health Services Administration | Febbraio 2015
American Journal of Managed Care | Dicembre 2014
Thus study aims to address concerns of time constraints when considering the implementation of personalized, person-centered care strategies. They implemented this care model in a busy urban clinic and found that it did not cause much disruption or time delays and it improved the quality of care.
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