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Social Determinants of Health...an Example 145
Today's episode is giving you an actual example of how social determinants of health can impact someone's care.   For me, we have to have a more broad conversation about care. It's not solely on race. If we could focus more on how similar we are despite our experiences and differences.   Yes, health disparities exist.    Yes, minority populations are usually impacted by these structural issues.   However,   WE have all struggled with access to care.   WE come from different backgrounds and have had poor experiences in getting to appointments.   WE have all struggled with watching loved ones get sick because they can't afford their medications.   The question is how do WE work TOGETHER to help each other MORE?   Resources Marmot, Michael, and Ruth Bell. “Social Inequalities in Health: a Proper Concern of Epidemiology.” Annals of Epidemiology, Elsevier, 3 Mar. 2016, www.sciencedirect.com/science/article/abs/pii/S1047279716300400.  Healthy People. “Social Determinants of Health.” Social Determinants of Health | Healthy People 2020, www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health.  Eighty-Six Percent of Primary Care Patients Believe Racism Is Impacting Their Health.” Primary Care Collaborative, 22 July 2020, www.pcpcc.org/2020/06/10/eighty-six-percent-primary-care-patients-believe-racism-impacting-their-health.  Evans, Michele K., et al. “Diagnosing and Treating Systemic Racism: NEJM.” New England Journal of Medicine, 17 June 2020, www.nejm.org/doi/full/10.1056/NEJMe2021693.  PatientEngagementHIT. “Patients, Providers Reflect on Racism as Public Health Crisis.” PatientEngagementHIT, 15 June 2020, patientengagementhit.com/news/patients-providers-reflect-on-racism-as-public-health-crisis.  Nolen, LaShyra, et al. “How Medical Education Is Missing the Bull's-Eye: NEJM.” New England Journal of Medicine, 25 June 2020, www.nejm.org/doi/full/10.1056/NEJMp1915891?query=recirc_mostViewed_railB_article.  Wakefield, Emily O, et al. “Describing Perceived Racial Bias Among Youth With Sickle Cell Disease.” OUP Academic, Oxford University Press, 17 Mar. 2018, academic.oup.com/jpepsy/article/43/7/779/4942298.  Betancourt, Joseph R. “Cultural Competence And Health Care Disparities: Key Perspectives And Trends.” Health Affairs, 2005, www.healthaffairs.org/doi/full/10.1377/hlthaff.24.2.499.  Henderson, Saras, et al. “Cultural Competence in Healthcare in the Community: A Concept Analysis.” Wiley Online Library, John Wiley & Sons, Ltd, 7 Mar. 2018, onlinelibrary.wiley.com/doi/abs/10.1111/hsc.12556.  Rukhsana Ahmed & Benjamin R. Bates (2017) Patients’ fear of physicians and perceptions of physicians’ cultural competence in healthcare, Journal of Communication in Healthcare, 10:1, 55-60, DOI: 10.1080/17538068.2017.1287389  Joseph R. Betancourt, Alexander R. Green. “Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care - Joseph R. Betancourt, Alexander R. Green, J. Emilio Carrillo, Owusu Ananeh-Firempong, 2003.” SAGE Journals, 1 July 2003, journals.sagepub.com/doi/abs/10.1093/phr/118.4.293.  Crawford, Dana E., et al. “‘LET UP’: A Systematic Approach to Responding to Cultural Bias in Health Care.” ZERO TO THREE, vol. 40, no. 2, Nov. 2019, pp. 10–17. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=eric&AN=EJ1244159&site=ehost-live&scope=site.  Place, Not Race: Disparities Dissipate In Southwest Baltimore When Blacks And Whites Live Under Similar Conditions 
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