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SPECIAL ARTICLE HEALTH CARE REFORM Collecting and Applying Data on Social Determinants of Health in Health Care Settings Laura Gottlieb, MD; Megan Sandel, MD; Nancy E. Adler, PhD espite strong evidence linking patients’ social circumstances to their health, little guid- ance exists for health care practitioners and institutions on addressing social needs in clinical settings. Current approaches to social determinants generally focus on popu- D lation-level and policy interventions; these overlook individual and clinical innova- tions within health care that can address patients’ social circumstances. This article proposes a frame- work for how social determinants interventions in the health care system can be construed across 3 tiers—patient, institution, and broader population—and describes ways to collect data and tar- get interventions at these levels. JAMA Intern Med. 2013;173(11):1017-1020. Published online April 29, 2013. doi:10.1001/jamainternmed.2013.560 Exponential growth in research on social tions and related financial incentives to determinants of health over the past 2 de- keep patients healthy, in addition to the cades has fueled interest in the possibil- 2012 tax code from the Internal Revenue ity that intervening on environmental and Service requiring nonprofit hospitals to re- social exposures could improve health and port regular community needs assess- reduce health
JAMA Internal Medicine – American Medical Association
Published: Jun 10, 2013
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