Social Determinants of Health Through An Occupational Lens Flashcards
Social Determinants of Health (SDH) Conceptual Framework?
(Look at image)
Marco structural considerations?
Marco structural considerations:
- Socioeconomic
- Political
- Governance (not just the legal system, what systems are going to be funded, who is going to be eligible)
- Policy
- Cultural
SDH Conceptual Framework?
(Look at image)
Social position and things that are experienced on an individual level?
Social position and things that are experienced on an individual level:
- Education
- Occupation
- Income
- Gender
- Race/Ethninicty
SDH Conceptual Framework?
(Look at image)
Other things we need to factor in?
- Material circumstances
- Social cohesion
- Psychosocial factors
- Behavioural factors
- Biological factors
SDH Conceptual Framework?
(Look at image)
How does all of these components interact?
Marco structural considerations determine how well the individual’s social position fits in and is accommodated. Taken together with the other factors for consideration determine how the health care system deals with this influencing the distribution of health and well-being.
Thereby modelling different factors that contribute to Social Determinants of Health.
Another model uses a circle to point out different Elements of A Healthy Community.
What are the two overreaching themes and a few other factors?
- Resiliency and Health Equity
Other factors are:
- Access to care
- Affordable quality housing
- Educational opportunity
- Community design
Among other
SDG from a First Nation perspective?
“The First Nations Health Council is part of a unique health governance structure that includes the First Nations Health Authority and the First Nations Health Directors Association. Collectively, this First Nations health governance stricter works with BC First Nations to achieve our shared vision.”
SDH within a neoliberals governed society
Economic ideology that has worked its way into political identity
3 principles of Neoliberalism affecting SDH?
- Individualism?
- Individualism
- Self-interest rather than mutual interest, individual responsibility
- Humans are always trying to help themselves, and move to the top of the hierarchy
SDH within a neoliberals governed society
Economic ideology that has worked its way into political identity
3 principles of Neoliberalism affecting SDH?
- Free market?
- Free market
- Favours de-regulation and privatisation of public and state-owned enterprises where economic growth takes precedence
- Free market regulation
- Removal of social support systems like retirement, parents paying for education -> responsibility to the individual
SDH within a neoliberals governed society
Economic ideology that has worked its way into political identity
3 principles of Neoliberalism affecting SDH?
- Decentralisation?
- Decentralisation
- Advocates transferring power, responsibility, and accountability from national to regional and municipal levels.
- The government removes itself from main governmental decisions and to different organisation -> the government does not come responsible for how that many is used but the organisation does
- Deterioration of the health care system
Economic ideology that has works its way into political identity
Neoliberal mindset and health care? (4)
- Cost cutting for efficiency
- Health care services as private good for sale rather than public good by tax dollars
- Who is viewed as potentially abusing the system? Placing the burden on the individual who has been ‘irresponsible’
- Social policies are viewed as a type of discrimination (preferential treatment) because only certain people benefit from government intervention (e.g., only low income seniors benefit yet service is funded by everyone’s tax dollars)
Citizens as consumers
Neoliberalism is characterized by assumptions that you?
+ issue with this framework?
- Are responsible for your health
- Are responsible for your economic status
- Can purchase the health care services you want at the agency you want
Diagnostic tests, scans, surgery, home care services, psychotherapy, prosthetics & orthotics, occupational therapy etc.…
Issue: When focusing on the individual, it does not take into account that some people are marginalized and privileged.
The Challenge of ‘Individualism’
Critiques of predominance of an individualistic lens within occupational science & occupational therapy? risk of… becuse
- Risk reproducing inequalities and injustices
- Frames social issues/problems as individual problems
- Obscures how social, economic, historical, and political factors shape occupation in practice and research
Article:
Food provisioning
The visible and invisible occupations of food provisioning in low income families (Beagan, Chapman & Power, 2017)
(3 things?)
- “Low income creates additional work in food provisioning”
- Food provisioning as an occupations requires knowledge, skills and work, but these are often invisible or unacknowledged
- Food provisioning is also an occupation whose meaning is contextually shared
Article:
Food provisioning
The visible and invisible occupations of food provisioning in low income families (Beagan, Chapman & Power, 2017)
Food provisioning: Findings?
Planning (transportation considerations, buss/taxi) ->
Complex knowledges (which stores has sales, price-match, coupons) ->
Strategies (keeping the brand box for the kids, stigma in school of having the ‘cheaper brand’) ->
**Other means ** (trading with friends, you get large quantities of the same thing from the food banks) ->
Parenting (you are a good parent if you keep your kids full, giving them food they enjoy)
Health inequalities and intersectionality?
What does it mean?
A term initially coined by Kimberle Crenshaw
- Proposed intersectionality as a tool to examine perpetuation of a single-axis framework when approaching anti-discrimation law & politics
