Improving Health and Health Care Worldwide | IHI ...
Innovation Relay: Social Determinants of Health37338005715000BackgroundThe health care system is not the primary influence on health outcomes; indeed, health care accounts for only a small proportion an individual’s health outcomes. There are numerous other contributors to an individual’s health, including public policy, genetics, behavior, environmental exposures, and social factors such as education and income. Nearly all of an individual’s relationship with their health exists outside of the medical environment and is significantly impacted by the social determinants of health. Healthy People 2020 defines social determinants as: “(…) conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Conditions (e.g., social, economic, and physical) in these various environments and settings (e.g., school, church, workplace, and neighborhood) have been referred to as “place.” In addition to the more material attributes of “place,” the patterns of social engagement and sense of security and well-being are also affected by where people live. Resources that enhance quality of life can have a significant influence on population health outcomes. Examples of these resources include safe and affordable housing, access to education, public safety, availability of healthy foods, local emergency/health services, and environments free of life-threatening toxins.”There are many different factors to consider when considering how best to address social determinants of health. Moreover, there is no single solution that is applicable to every person or even to more than one geographic area such as a neighborhood, city, or region. Finding the right solutions will likely require coordination between multiple disparate stakeholders with different levels of interaction with the health care system, such as community and social service organizations. Our challenge is to design sustainable solutions to addressing the social determinants of health to truly make a measurable impact on improving population health. Your Problem to Solve:We know that social determinants account for 80-90% of health outcomes. Design an approach of a hospital/health care system to interact with the community to improve the social determinants of health. ................
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