Health Affairs July 8, 2019
Karen DeSalvo, Michael O. Leavitt

Research affirms what we intuitively know: The ability of individuals and families to lead healthy and productive lives is influenced by a multitude of factors. Beyond the more commonly recognized factors such as insurance coverage and access to medical care are the non-medical social determinants of health (SDOH). These non-medical drivers include access to healthier foods, safer neighborhoods, reliable transportation, and educational attainment. They also include how we behave in our environment such as exercise, eating habits, and tobacco use. SDOH account for more health outcomes, including cost, than medical care alone. Importantly, emerging evidence suggests that addressing negative SDOH can lead to improvements in health outcomes.

Efforts to address SDOH include ample examples of promising cross-sector collaboration—collaboration that...

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Topics: Equity/SDOH, Health System / Hospital, Insurance, Medicaid, Patient / Consumer, Physician, Primary care, Provider
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