Social Determinants of Health: Implications and Outcomes Ron Yee, MD, MBA, FAAFP Region IX Leadership Institute, June 16, 2015 Social Determinants of Health (SDH) Objectives 1. Discuss prior and current work 2. Better understand the clinical and cost implications 3. Case study of how we can help patients overcome negative SDH and optimize positive
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Social Determinants of Health: Implications and Outcomes
Ron Yee, MD, MBA, FAAFPRegion IX Leadership Institute, June 16, 2015
Social Determinants of Health (SDH)
Objectives
1. Discuss prior and current work
2. Better understand the clinical and cost
implications
3. Case study of how we can help patients
overcome negative SDH and optimize positive
SDH Definitions
World Health Organization (WHO)
“The conditions in which people are born,
grow, live, work and age, including the health
system. These circumstances are shaped by
the distribution of money, power and
resources at global, national and local levels,
which are themselves influences by policy
choices”
SDH Definitions
Centers for Disease Control and Prevention (CDC)
“The complex integrated and overlapping social structures and economic systems that are responsible for most health inequities. These social structures and economic systems include the social environment, physical environment, health services and structural and societal factors.”
SDH Definitions
Robert Wood Johnson
Foundation (RWJF)
“Health starts where we live, learn,
work and play.”
Why Do SDH Matter?
• Research demonstrates SDH–Contribute to poorer health outcomes
–Lead to health disparities
–Make it more difficult to improve quality and health outcomes
• Impact on health center populations served–Increased difficulty improving health outcomes for complex
patients
–Insufficient funds to provide or reimbursement for
comprehensive care (case managers, CHWs, navigators, etc.)