scholarly journals Global Health with Justice: Controlling the Floodgates of the Upstream Determinants of Health through Evidence-Based Law

2020 ◽  
Vol 13 (1) ◽  
pp. 4-9
Author(s):  
John Coggon ◽  
Lawrence O Gostin
Keyword(s):  
Global Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Evidence Based ◽  
Special Issue ◽  
The Social ◽  
Georgetown University ◽  
The Subject ◽  
Upstream Determinants

Abstract This article introduces a special issue on the legal determinants of health, following the publication of the Lancet–O’Neill Institute of Georgetown University Commission’s report on the subject. We contextualize legal determinants as a significant and vital aspect of the social determinants of health, explain the work of the Lancet–O’Neill Commission and outline where consequent research will usefully be directed. We also introduce the papers that follow in the special issue, which together set out in greater detail the work of the Commission and critically engage with different aspects of the report and the application of its findings and recommendations.

Health promotion

2020 ◽  
pp. 152-156 ◽  
Author(s):  
Evelyne de Leeuw
Keyword(s):  
Health Promotion ◽  
Global Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Public Policies ◽  
Health Inequity ◽  
Determinants Of Health ◽  
Inequalities In Health ◽  
Health Concerns ◽  
The Social

The ‘Ottawa Charter for Health Promotion’ (1986) remains a benchmark for the global health promotion community, but the context for health promotion has changed with increasing recognition of the significance of inequalities in health. Health promotion is a key strategy to deal with the social determinants of health that create these inequities. Attention has shifted from the mere recognition that all public policies may impact on health to active strategies and actions to move health concerns into all policies. Clinicians are key actors in shaping social and cultural priorities and beliefs: they should be committed to the reduction of health inequity, with health promotion as a core commitment and responsibility.

scholarly journals Screening for poverty and intervening in a primary care setting: an acceptability and feasibility study

2019 ◽  
Vol 36 (5) ◽  
pp. 634-638
Author(s):  
Andrew D Pinto ◽  
Madeleine Bondy ◽  
Anne Rucchetto ◽  
John Ihnat ◽  
Adam Kaufman
Keyword(s):  
Primary Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Low Income ◽  
Determinants Of Health ◽  
Health Concern ◽  
Evidence Based ◽  
Health Providers ◽  
Financial Benefits ◽  
The Social

Abstract Background A movement is emerging to encourage health providers and health organizations to take action on the social determinants of health. However, few evidence-based interventions exist. Digital tools have not been examined in depth. Objective To assess the acceptability and feasibility of integrating, within routine primary care, screening for poverty and an online tool that helps identify financial benefits. Methods The setting was a Community Health Centre serving a large number of low-income individuals in Toronto, Canada. Physicians were encouraged to use the tool at every possible encounter during a 1-month period. A link to the tool was easily accessible, and reminder emails were circulated regularly. This mixed-methods study used a combination of pre-intervention and post-intervention surveys, focus groups and interviews. Results Thirteen physicians participated (81.25% of all) and represented a range of genders and years in practice. Physicians reported a strong awareness of the importance of identifying poverty as a health concern, but low confidence in their ability to address poverty. The tool was used with 63 patients over a 1-month period. Although screening and intervening on poverty is logistically challenging in regular workflows, online tools could assist patients and health providers identify financial benefits quickly. Future interventions should include more robust follow-up. Conclusions Our study contributes to the evidence based on addressing the social determinants of health in clinical settings. Future approaches could involve routine screening, engaging other members of the team in intervening and following up, and better integration with the electronic health record.

scholarly journals Public policy and the social determinants of health: the challenge of the production and use of scientific evidence

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s135-s140 ◽  
Author(s):  
Alberto Pellegrini Filho
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Scientific Evidence ◽  
Historical Review ◽  
Health Inequities ◽  
Determinants Of Health ◽  
Special Issue ◽  
The Social ◽  
Global Movement ◽  
Evaluation Of Policies

This article serves as an introduction to the others published in this thematic issue of the Cadernos de Saúde Pública. The author makes a brief historical review of the concepts, approaches and methodologies used to study the relationships between social determinants and health outcomes. By analyzing the current global movement around social determinants of health he emphasizes that the distinctive feature of this movement is the explicit commitment to action through intersectoral public policies that are based on evidence and implemented with the support and participation of broad segments of society. As this special issue of the Cadernos de Saúde Pública is dedicated to presenting the results of research related to social determinants of health, the author focuses on an analysis of the difficulties in the production and use of scientific evidence that supports the definition, implementation and evaluation of policies to combat health inequities through action on social determinants of health. To conclude, he presents some recommendations for overcoming these difficulties.

scholarly journals Environmental Health Perspectives on the Emergence and Re-Emergence of Infectious Diseases, Geopolitics and Gain of Function Research

2021 ◽  
Vol 2 (12) ◽  
pp. 1298-1303
Author(s):  
Chrysanthus Chukwuma SR
Keyword(s):  
Global Health ◽  
Infectious Diseases ◽  
Environmental Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Anthropogenic Activities ◽  
Determinants Of Health ◽  
Gain Of Function ◽  
Health Diplomacy ◽  
The Social

Research and publication are relevant from perspectives in the management of local and global health because disease is perspicuously a geopolitical issue ostensibly linked to gain-of-function research where health diplomacy undergirds present and future global functionalities regarding the emergence and reemergence of infectious diseases. These have generated vehement reactions with propensity for extreme geopolitics and gain-of-function natural and anthropogenic activities. Geopolitical parameters and gain-of-function issues impact on the social determinants of health and vice versa. The convening and convergence of countries for unprecedented epidemic or pandemic treaty settings or other formulations to confront emerging and reemerging infectious diseases will afford considerable opportunities concerning challenges in action, preparedness and response. Provisions are pertinent for legal instruments, effective and efficient systems to curb future threats and outbreaks of infectious diseases.

scholarly journals Global Health in Swedish Nursing Curricula: Navigating the Desirable and the Necessary

2021 ◽  
Vol 18 (17) ◽  
pp. 9372
Author(s):  
Monne Wihlborg ◽  
Helen Avery
Keyword(s):  
Nursing Education ◽  
Global Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Theoretical Work ◽  
Determinants Of Health ◽  
Undergraduate Nursing ◽  
Nursing Curricula ◽  
Structural Competency ◽  
The Social

Global health challenges are likely to be aggravated in the coming years by rapid climate change and environmental degradation. To address the resulting health inequities, nurses need an integrated understanding of environmental and social determinants of health. This study adopts an explorative inductive approach to examine how global health and sustainability are expressed the course syllabi of undergraduate nursing programmes (n = 24) in Sweden. After excluding biomedical and other unrelated content, 67 syllabi were selected for a thematic analysis. Results indicate that global health, the social determinants of health and sustainability tend to appear in a fragmented manner in the syllabi. Global health content is often limited, relegated to elective courses, or altogether missing. A theoretical framework is lacking, and focus lies on an individual rather than structural perspective. Based on international policy, earlier studies on undergraduate nursing education and theoretical work, suggestions are made for how global health and sustainability content could be integrated into nursing education, notably by using a structural competency approach.

scholarly journals Addressing Social Determinants While Social Distancing: The Development of an Evidence-Based Social Needs Screening for a Telehealth Setting

2021 ◽  
Author(s):  
Ruby Reed ◽  
María Suárez-Nieto ◽  
Jiwoo Lee ◽  
Neil Wary ◽  
Songnan Wang ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Patient Population ◽  
Clinical Care ◽  
Community Organizations ◽  
Social Needs ◽  
Determinants Of Health ◽  
Evidence Based ◽  
Free Clinics ◽  
The Social

Effectively addressing social determinants of health in clinical care can be challenging, and screening for such social needs is often overlooked. The COVID-19 pandemic has exacerbated health disparities and the impacts of social determinants of health, increasing the importance of both effective screening and intervention to address social needs. In response, the student-run free clinics at Stanford University sought to meet this need amongst our patient population by developing an evidence-based social needs screening (SNS) and referral protocol and integrating it into our novel telehealth model. The new protocol was implemented significantly more consistently compared to our previous checklist-based SNS, and more need was identified amongst our patient population than with the checklist-based, pre-pandemic screen. The new screening and referral protocol facilitated comprehensive patient care that addresses the social determinants of health in the clinical setting by improving our ability to identify patient social needs and refer such patients to community organizations. In describing the development, design, and implementation of this SNS, we hope to provide an example strategy for addressing social determinants of health within a student-run free clinic setting, and to encourage other student-run clinics and/or free clinics to similarly expand locally relevant social needs services.

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