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
- Effective communication
- Communicate openly and respectfully with Pts
- Crease a safe environment where Pts feel comfortable discussing social factors that might be impacting their health
- Education & empowerment
- Educate Pts about the impact of social determinants of health on their recovery and overall well-being
- By empowering Pts with knowledge→encourage Pt to take steps to address those factors (e.g. seek social support/access to community resources)
- Referrals & collaboration
- Collaborate with other healthcare professionals (e.g. SW/counsellor) to address social determinants of health that fall inside their expertise
- Refer Pts to appropriate support services can have a significant impact on their overall well-being
- Individualized care & incorporating social context into Rx plans
- Tailor their Rx plans to the specific needs of each Pt, considering their unique social circumstances
E.g.
1. Consider the living environment when prescribing exercise
2. Suggest alternative options for Rx such as bi-weekly appointments if cost is an issue
- Culturally competent care
- Provide culturally sensitive care→takes into consideration the cultural backgrounds and beliefs of Pts
- Helps build trust and rapport→better Pt engagement & adherence to Rx plans
- Promotion of physical activity
- Encourage Pt to engage in physical activity→+ve effects on both physical and mental health
- Guide safe exercises that Pt can do at home/in their communities, even with limited resources
- Health literacy & self-management
- Assist Pts to develop health literacy and self-management skills
E.g. help Pts understand their conditions, medication, Rx plans→empower them to make informed health decision
- Self-reflection & cultural sensitivity
- Engage in regular self-reflection to examine their own biases and attitudes toward social determinants of health
- Continuously work on developing cultural sensitivity and awareness
- Advocacy & policy engagement
- Use their expertise and position→advocate for policies that address social determinants of health
E.g. better access to healthcare, improved living conditions, and policies that promote health equity
- Participate in community outreach programs/workshops & health education initiatives that focus on promoting healthy behaviours and addressing social determinants within local communities.
