Tag Archives: social determinants of health

Is Our Racial Divide Worsening in Healthcare?

In 1973, an article entitled, “Does Race Interfere with the Doctor-Patient Relationship,” was published in the Journal of the American Medical Association. It pointed out systemic biases that impact the care for those in minority groups. Almost 50 years later, have we improved? Though the article delineated a significant amount of attention that addresses health inequities and the… Read More »

Healthy Equity is A Critical Part of Value-Based Payment Models

As value-based payment models have continued to expand, this expansion has occurred in the more affluent communities. Additionally, communities with more socioeconomically vulnerable individuals were less likely to be selected for joint replacement bundles, another form of a value-based payment. A big reason for this lack of equitable distribution of value-based care, can be linked to the absence… Read More »

Workforce Wellness Programs: Are They Focused on the Wrong Thing?

Recently, there has been an ongoing debate over the value of workplace wellness programs. It is logical to think that to improve a person’s health, you can provide them with support services such as weight management and disease intervention plans through their worksite and ultimately their health will improve, and costs will decrease for both the employee and… Read More »

Why Using Social Determinant Metrics in The Hospital Readmission Penalty Calculation Matters?

Currently, there is an ongoing debate whether Medicare readmission penalty policy is equitable to all hospitals. The greatest argument and concern is the lack of social determinants of health (SDOH) factors in the calculation. Many contend including SDOH is essential to create greater equality amongst the comparisons. In contrast, others do not believe they are impactful or state… Read More »

The Physician’s Role in Addressing Social Determinants of Health

As a physician, I was taught to diagnose and treat. Sure, I knew your social situation outside of my office played a role in your overall wellbeing, but it really was not in my differential diagnosis. Undeniably, I did what I could to help with those situations, but only within the context of increasing the ability of the… Read More »

Exploring Quality as the Use of Virtual Care Expands

The COVID-19 pandemic has elevated the speed at which we have converted to virtual care. Physicians and consumers have substantially increased their use of virtual visits and digital applications. This care includes interactions concerning diagnosis, evaluation, and management of conditions that historically have occurred in person. Because of this, many questions arise concerning the quality and utilization of… Read More »

How Can We Become the Trusted Voice?

What the COVID-19 pandemic has brought to light is the detrimental effect of medical misinformation. We must remember the “law of rumor” is proportional to the level of ambiguity and the importance of the spreading. When there is an overwhelming feeling of uncertainty, when people feel anxious, when the information is deemed important, and whether they believe the… Read More »

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 »