Social Determinant of Health Flashcards
Overview
- Socioeconomic
status - Education
- Employment &working conditions
- Housing & neighborhood conditions
- Social support & networks
- Access to healthcare services
- Nutrition & food security
- Physical environment
- Cultural & social norms
- Gender, sex, race & ethnicitiy
- Early childhood experience
Socioeconomic
status
- Income/wealth
- Education
- Occupation
People with higher socioeconomic status generally have better access to
- healthcare
- nutrition
- other resources that contribute to good health
Education
- Higher levels of education
Education
- increases knowledge about health-related behaviors (e.g. the importance of regular cardiovascular fitness for heart health)
- provides opportunities for better employment and income.
Employment & working conditions
- Job stability
- Workplace safety
- Access to benefits
Stressful/hazardous work environments
→ -ve affect health outcomes
Housing & neighborhood conditions
- Safe & affordable housing
- Quality of neighborhood
Health issue can be due to
- Poor housing conditions
- Exposure to environmental toxins, violence, and/or crime
Social Support & networks
- Strong social connections
- Supportive relationships
Isolation and lack of social support→poor health outcomes
Access to healthcare services
- Availability and affordability of healthcare services
- Health insurance coverage
A Pt who does not seek services due to lack of coverage→poor health outcome
Nutrition & food security
- Access to healthy and affordable food options
Food insecurity→malnutrition→related health problems
Physical environment
- Air and water quality
- Green spaces
- Transportation
Lack of a healthy safe physical environment, such as highly densified areas with no outdoor space/highly polluted area→poor health outcomes.
Cultural & social norms
- Smoking
- Diet
- Exercise
Cultural beliefs and societal norms→affect behavior related to health
Gender, sex, race & ethnicity
- Gender-based roles
- Discrimination
Men & women may experience different health challenges due to biological and societal factors
Systemic inequalities & discrimination→ Racial and ethnic disparities in health outcomes
Early childhood experience
- Early childhood development and experiences
Childhood experiences have a lasting impact on health throughout lift
+ve experience during childhood→better health outcome
Where to incoporate the social determinant of health in OCE?
Case 1:
* Clinical Impression & Recommendations
Case 2:
* Education
* Referrals & Collaboration
Possible Probing Questions
1. How could the social determinants of health the patient presents will impact their recovery
- How would you as a PT address the social determinants of health in this case?
How PT can assist with social determinats of health?
- Assessment & Screening
- Effective communication
- Education & empowerment
- Referrals & collaboration
- Individualized care & incoporateing social context in Rx plans
- Culturally competent care
- Promotion of physical activity
- Health literacy & self-management
- Self-reflection & cultural sensitivity
- Advocacy & policy engagement
- Assessment & Screening
- thorough Ax that go beyond physical impairment to understand a Pt’s social context
- Ask questions about living conditions, social support, access to transportation, etc.
- Help identify potential barriers to Rx & develop effective Pt-centered care plans