Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jun 21:2021:10.31478/202106c.
doi: 10.31478/202106c. eCollection 2021.

Social Determinants of Health 201 for Health Care: Plan, Do, Study, Act

Sanne Magnan  1
Affiliations
Review

Social Determinants of Health 201 for Health Care: Plan, Do, Study, Act

Sanne Magnan. NAM Perspect. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflict-of-Interest Disclosures: Sanne Magnan discloses that she is a non-paid member of Epic’s Population Health Steering Board (2016-2020) and chair of its SDoH sub-committee (2018-2020) The concept of this paper was presented at the annual American College of Physicians’ Internal Medicine meeting in Philadelphia, PA, April 2019.

Figures

FIGURE 1
FIGURE 1. Social Determinants and Social Needs: Moving Beyond Midstream
SOURCE: Castrucci, B. C. and J. Auerbach. 2019. Meeting Individual Social Needs Falls Short of Addressing Social Determinants of Health. Health Affairs Blog. Available at: https://www.healthaffairs.org/do/10.1377/hblog20190115.234942/full/ (accessed September 30, 2020). Reprinted with permission.
FIGURE 2
FIGURE 2. Framework #1: The Spectrum of Health-Related Social Needs, Social Risk Factors, and Social Determinants of Health
SOURCE: Adapted from Auerbach, J. 2019. Social Determinants of Health Can Only Be Addressed by a Multisector Spectrum of Activities. Journal of Public Health Management and Practice 25(6): 525-528. https://doi.org/10.1097/PHH.0000000000001088. Used with permission.
FIGURE 3
FIGURE 3. Framework #2: Pathways to Population Health
SOURCE: Institute for Healthcare Improvement. 2020. About Pathways to Population Health. Available at: http://www.ihi.org/Topics/Population-Health/Pages/Pathways-to-Population-Health.aspx (accessed September 30, 2020). Used with permission.
FIGURE 4
FIGURE 4. Framework #3: Health Care System Activities that Strengthen Social Care Integration
SOURCE: National Academies of Sciences, Engineering, and Medicine. 2019. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/25467. Used with permission.
FIGURE 5
FIGURE 5. Plan, Do, Study, Act for SDoH, Social Risk Factors, or HRSN
SOURCE: The W. Edwards Deming Institute. Available at: https://deming.org/explore/pdsa/ (accessed April 27, 2021). Used with permission.
Figure A
Figure A. Final form of the CSDH conceptual framework
SOURCE: Solar, O., and A. Irwin. 2010. A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). World Health Organization. Available at: https://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf (accessed December 14, 2020.) Used with permission.
See this image and copyright information in PMC

References

    1. Magnan S. NAM Perspectives. National Academy of Medicine; Washington, DC: 2017. Social Determinants of Health 101 for Health Care: Five Plus Five. Discussion Paper. - DOI
    1. Gottlieb LM, Wing H, Adler NE. A Systematic Review of Interventions on Patients’ Social and Economic Needs. American Journal of Preventive Medicine. 2017;53(5):719–729. doi: 10.1016/j.amepre.2017.05.011. - DOI - PubMed
    1. Centers for Disease Control and Prevention. Social Determinants of Health: Know What Affects Health. 2020. [February 20, 2021]. https://www.cdc.gov/socialdeterminants/index.htm.
    1. Alderwick H, Gottlieb LM. The Milbank Quarterly. June (Volume 97) 2019. [February 25, 2021]. Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems. https://www.milbank.org/quarterly/articles/meanings-and-misunderstanding... - PMC - PubMed
    1. Centers for Medicare and Medicaid Services. The Accountable Health Communities Health-Related Social Needs Screening Tool. 2020. [February 20, 2021]. https://innovation.cms.gov/Files/worksheets/ahcm-screen-ingtool.pdf.

LinkOut - more resources