Tag Archives: social determinants of health

Addressing Societal Health Issues at a Root Cause Level

As we continue to grapple with various disease states like obesity and diabetes, which impact a significant number of people, our ability to change human behaviors is minimal. We continuously design interventions that include education and behavioral modification with limited results. In essence, we appear to be attempting to prevent water from streaming out of the hose by… Read More »

If We Invest in Social Needs, There Can Be a Great Return

Recently, there is a tremendous amount of focus on the value of social interventions and healthcare costs. To be of optimal help to the greater society, it is important for us to thoroughly understand how to investigate the value of such interventions. In the journal, Health Affairs, a recent study by Kangovi et al. investigates the return on… Read More »

Investment in Social Determinants is Rising

As we continue to focus on value-based care, with special attention put on the social needs of those we serve, how these investments occur becomes paramount. Historically, the buckets of allocated dollars for social needs lived in the public health sector, either by governmental or philanthropic funding. However, as we move towards value-based payment models, other delivery entities… Read More »

To Better Support Those We Serve, Coordination is Key!

As we continue to focus on the social determinants of health, we spend a significant amount of attention on the financial support needed for nutrition assistance. The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program, tasked with improving food security among low-income households. This program works by providing fiscal supplements to low-income households.… Read More »

Study Shows Social Needs Interventions DO Offer Return on Investment

There is a tremendous amount of focus on the value of social interventions like housing and food stability, on the cost of healthcare. For the benefit of all, we must learn how to investigate the value of these interventions. A recent study in Health Affairs by Kangovi et al. examines the return on investment for an evidenced-based community… Read More »

Investment in Social Determinants of Health is Rising

As we continue to focus on value-based care, with particular attention being put on the social needs of those we serve, how these investments are made is important. Historically, funding for this was part of the public health sector, either by governmental or philanthropic funding. However, as we move towards value-based payment models, other delivery entities begin to… Read More »

Taking a Look at How Clinical Care and Public Health Intersect

Undeniably, individual rights are foundational to our civil liberties. However, we are also socially minded, meaning thinking beyond individual needs, and therefore, we must bridge this polarity. From a care perspective, these dualities remain in two different verticals,1. medical care/treatment, and 2. public health. For example, when I discuss a condition and treatment options with a patient, the… Read More »

What Happens When I am Proven Wrong?

“Hot-spotting” is a method in healthcare to identify areas for intervention. The premise suggests, if I can identify a segment that is responsible for most of a situation and change its trajectory, a positive outcome will occur. This premise is the basis for disease management, and now value-based care concerning social determinants of health. However, a recent randomized… Read More »

The Challenges with the “Not-Invented-Here Syndrome” in Healthcare

As we continue to enhance our care models and desire to deliver on value-based care, exactly how we embrace external disciplines in our pursuit of success is crucial. Often called the “Not-Invented-Here Syndrome,” (NIHS) is a situation where a profession only looks for solutions within the context of their own area of expertise. This condition plagues medicine, limits… Read More »

Why is Screening for Social Determinants Difficult?

In the present age of healthcare, we understand that social determinants play a critical role in health and wellness, as well as influencing our ability to treat illnesses. Those who identify with issues such as food insecurity, intimate partner violence, availability or quality of housing, and the ability to pay for necessities such as utilities like heat and… Read More »