Family medicine

The researches find that the places where people live; learn, work and play affect a wide range of health risks and outcomes – these conditions are called social determinants of health. Screening for social determinants helps health care professionals better understand patient health risks and improves patient health. The health care community generally agrees that clinicians should screen social determinants for their patients. But For optimal health of our patients; we must address and eventually eliminate patients’ social determinants of health disparities.

Health care professionals

Continued advances and debate about how to best implement social determinants screening and referrals will ensure continued progress towards this goal and will give clinicians and patients hope for a healthier future.” Dr. Karina W. Davidson, who heads the Center for Personalized Health at the Feinstein Institutes and is a professor of Behavioral Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.

Dr. Davidson, along with co-author Thomas McGinn, MD, MPH, Director of the Institute for Health Innovations and Outcomes Research at the Feinstein Institutes and senior vice president of physician network operations at Northwell Health; note in their JAMA review that it is well known in the clinic that disparities in the social determinants are harmful to health. But less is known about who should screen; identify and deliver programs to reduce these harms and successfully address patients’ social determinants; either individually or at the societal level.

Chronic disease management

The authors note that there have been successes in identifying social screening needs and implementing co-location care models, for example. They also note that; “identifying and addressing/improving patients’ social determinants will only be successful if these clinical practices occur with broad structural; community, and societal changes to the determinants that currently perpetuate poor health.” Drs. Davidson and McGinn also note that there is a debate to implementing comprehensive and universal screening for social determinants.Because One of the debates is that doctors don’t have time. In a 2019 survey; 70% of physicians reported “lack of time” as an issue that prevents social determinants screening.

There is already concern that many physicians are spending too little time in meaningful patient care; and too much time on electronic health record entry and other administrative responsibilities, and that adding screening for social determinants of health many only exacerbate this issue. Dr. Davidson is a research leader in chronic disease management who exemplifies our mission to produce knowledge to cure disease. This paper is another example of how she brilliantly applies research to find future cures.” Kevin J. Tracey, MD, president and CEO of the Feinstein Institutes