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Social Determinants of Health

(Updated November 26th, 2018)

The World Health Organization (WHO) defines the social determinants of health as the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.

We can think of social determinants of health in terms of Maslow's Hierarchy by which individuals need to have their basic social needs met before continuing on the path to eventual self-management of their health. Basic needs must be met first in order for the individual to feel comfortable moving forward and addressing further issues or concerns. It is the priorities of the individual and not the clinician when addressing the social determinants of health.

Resources and Tools

Tools

Social Determinants of Health

Community-Clinical Linkages

This document guides public health practitioners on key strategies to implement community-clinical linkages that focus on adults 18 years or older.

Community-Clinical Linkages for the Prevention and Control of Chronic Diseases: A Practitioner’s Guide

Tools

Social Determinants of Health

SIM Social Determinants of Health Brief Screening Template

The intent of brief social determinants of health screening is to establish a routinized process through which providers identify (in an actionable manner) social barriers their attributed patient population is facing. The SIM SDOH screening tool may be accessed via the SIM Participation Guide

SIM SDOH Brief Screening Tool

Tools

Subjective Numeracy Scale

A self-report that measures the perceived ability to perform various mathematical tasks and where the individual prefers the use of numerical or prose information.

Subjective Numeracy Scale

Community Resources

2018 Michigan County Health Rankings

Provides actionable data and strategies to communities to make it easier for people to be healthy in their homes, schools, workplaces, and neighborhoods.

2018 County Health Rankings

Tools

Social Determinants of Health

Protocol for Responding to and Assessing Patient Assets, Risks and Experiences (PRAPARE)

Assessment tool to help screening and gather information around the social determinants of health.

PRAPARE

Tools

Social Determinants of Health

Adverse Childhood Experiences (ACES)

A tool to measure adverse childhood experiences and their impact on health later in life.

ACES Tool

Tools

Health Literacy Universal Precautions Toolkit v2

The AHRQ Health Literacy Universal Precautions Toolkit, 2nd edition, can help primary care practices reduce the complexity of health care, increase patient understanding of health information, and enhance support for patients of all health literacy levels.

Universal Precautions Toolkit

Tools

Plain Language Medical Dictionary

Online tool created through the University of Michigan to help patients search medical terms in plain language

U-M Library Plain Language Medical Dictionary

Tools

Social Determinants of Health

Protocol for Responding to and Assessing Patient's Assets, Risks and Experiences

In this chapter of the guide, provides practices with guidance and examples on ways to address or reduce risks for social determinants

Click here for more information

Articles

Article

Social Determinants of Health

Social Determinants of Health

Reviews current knowledge of health effects of social factors, knowledge gaps as well as upstream and downstream factors relating to SDOH

The Social Determinants of Health: Coming of Age

Videos

Websites

Website

Social Determinants of Health

Healthy People 2020

Healthy People 2020 highlights the importance of addressing the social determinants of health by including “Create social and physical environments that promote good health for all” as one of the four overarching goals for the decade.

Healthy People 2020 - Social Determinants of Health

Website

MiCHAP

Michigan Children's Health Access Program transforms medical care delivery to Michigan’s families, improving efficiencies at the provider level and reducing costs at the system level.

Michigan Children's Health Access Program