Awareness of social determinants of health should be incorporated into medical education at all levels—from medical school to residency and continuing medical education as well—to help all patients get the care they need, not just a select few
ACP published a paper on Tuesday, April 17, in Annals of Internal Medicine that examines ways to reduce health care disparities. “Addressing Social Determinants to Improve Patient Care and Promote Health Equity” provides a set of recommendations aimed at improving patient care and health outcomes, and overcoming the special challenges associated with adverse conditions in which people are born, grow, work and live.
Social determinants of health are non-medical factors that can impact an individual's overall health and health outcomes. These include conditions that shape a patient's daily life, such as income, social status and education, their physical environment including access to safe water and clean air, the safety and conditions of their workplace and home, employment opportunities and social support networks, and access to health services.
Health disparities, often rooted in social, economic, and environmental factors, can influence an individual's health. On average, there is a 15-year difference in life expectancy between the most advantaged and disadvantaged citizens. While addressing social determinants of health alone may not always result in better health care outcomes, it is a critical step forward in solidifying physicians' roles as advocates for patients.
“Taking a closer look at social determinants of health can help us better understand and address the social factors that have an impact on patient health,” said Jack Ende, MD, MACP, ACP's President. “It's important that physicians and other medical professionals recognize and account for social determinants of health to create a more comprehensive approach with our patients. Moreover, such an approach can to help eliminate significant health inequalities often associated with social determinants of health, such as homelessness, food insecurity, and mental health stressors such as domestic violence or social isolation.”
Promoting health equity and reducing significant health disparities is a longstanding goal of ACP. In order to reduce our country's sizable health disparities, ACP's paper calls for awareness of social determinants of health to be incorporated into medical education at all levels—from medical school to residency and continuing medical education as well—to help all patients get the care they need, not just a select few.
ACP recommends increasing awareness of social determinants of health through increased funding of federal, state, and local programs that address social determinants of health, including investments in programs and social services, and focusing more research on the causes and effects of social determinants of health. Additionally, ACP urges Congress and the administration to implement policies that address the socioeconomic and environmental inequalities that significantly impact patient health, with an increased focus on wellness and prevention.
“A greater focus on social determinants of health can enable physicians to become stronger advocates for patients and to help reduce negative health outcomes that are often associated with social determinants of health,” said Dr. Ende.