NEJM March 15, 2023
Amy Shaheen, MD, MSc, Michelle Anderson Squire, MSc, Hunter Gay, MBA, MPH, Saleha Yasmin Rana, Mark Gwynne, DO, and Sachin K. Gupta, MD

Summary

Social determinants of health (SDOH) impact life expectancy and morbidity. More than just poverty, social inequality associated with race, ethnicity, language, gender identity, or education leads to differential health outcomes. Not all SDOH are modifiable but some social needs — such as food insecurity, transportation, or housing — can be addressed with the hope of impacting long-term health outcomes. But systems, processes, and people to tackle social needs exist haphazardly across health care systems and communities. Widespread and durable availability of the resources and workflow models to favorably modify SDOH is uncommon in outpatient practices. Therefore, UNC Health Care System aimed to increase screening and action on SDOH across its large organization in North Carolina. UNC Health aimed to...

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Topics: Equity/SDOH, Healthcare System, Patient / Consumer, Provider
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