Teaching About Health Disparities Using a Social Determinants Framework
- Dave A. Chokshi MD, MSc
- … show all 1 hide
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
The intersection of two trends in health intervention has the potential to fundamentally change the practice of medicine. First, research into the social determinants of health is revealing the mechanisms by which living conditions cause disease. Second, the restructuring of primary care around preventive interventions represents the convergence point of medicine and public health. These trends have profound implications for medical education. Whereas traditional educational paradigms favor a “bottom-up” approach to disease—focusing on molecular origins or organ systems—new paradigms must emphasize the entire causal chain of ill health to facilitate the understanding of novel interventions available to tomorrow’s clinician.
- Satcher D. The Initiative to eliminate racial and ethnic health disparities is moving forward. Public Health Rep. 1999;114:283–7. CrossRef
- Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, D.C.: Institute of Medicine; 2002.
- Functions and Structure of a Medical School: Standards for Accreditation of Medical Education Programs Leading to the M.D. Degree. Washington, D.C.: Liaison Committee on Medical Education; 2008.
- Smith WR, Betancourt JR, Wynia MK, Bussey-Jones J, Stone VE, Phillips CO, Fernandez A, Jacobs E, Bowles J. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 2007;147:654–65.
- Isaacs SL, Schroeder SA. Class - the ignored determinant of the nation's health. N Engl J Med. 2004;351:1137–42. CrossRef
- Marmot M, Friel S, Bell R, Houweling TA, Taylor S. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008;372:1661–9. CrossRef
- Flexner, A. Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching. Merrymount Press, Boston; 1910.
- McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Aff (Millwood). 2002;21:78–93. CrossRef
- For a Healthy Nation: Returns on Investments in Public Health. (Office USGP ed. Washington, D.C.: Department of Health and Human Services; 1994.
- McGinnis JM, Foege WH. Actual causes of death in the United States. Jama. 1993;270:2207–12. CrossRef
- Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. Jama. 2004;291:1238–45. CrossRef
- Masi CM. When less is more in public health. Perspect Biol Med. 2008;51:479–83. CrossRef
- Inequalities in health: report of a research working group. London, UK: Department of Health and Social Security; 1980.
- Mackenbach JP, Stirbu I, Roskam AJ, Schaap MM, Menvielle G, Leinsalu M, Kunst AE. Socioeconomic inequalities in health in 22 European countries. N Engl J Med. 2008;358:2468–81. CrossRef
- Marmot, M., Wilkinson, R.G. eds. Social determinants of health, 2nd edition. Oxford: Oxford University Press; 2005.
- Marmot MG, Smith GD, Stansfeld S, Patel C, North F, Head J, White I, Brunner E, Feeney A. Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991;337:1387–93. CrossRef
- Diez Roux AV, Merkin SS, Arnett D, Chambless L, Massing M, Nieto FJ, Sorlie P, Szklo M, Tyroler HA, Watson RL. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001;2001(345):99–106. CrossRef
- Marmot, M. Health in an unequal world. Lancet. 2006;368:2081–94. CrossRef
- Wilensky GR, Satcher D. Don't forget about the social determinants of health. Health Aff (Millwood); 2009.
- Schoeni RF, House JS, Kaplan GA, Pollack H eds. Making americans healthier: social and economic policy as health policy. New York: Russell Sage Foundation; 2008.
- Shonkoff JP, Boyce WT, McEwen BS. Neuroscience, molecular biology, and the childhood roots of health disparities. Jama. 2009;301:2252–9. CrossRef
- Anderson GF, Frogner BK. Health spending in OECD countries: obtaining value per dollar. Health Aff (Millwood). 2008;27:1718–27. CrossRef
- Lurie N. What the federal government can do about the nonmedical determinants of health. Health Aff (Millwood). 2002;21:94–106. CrossRef
- Blouin C, Chopra M, van der Hoeven R. Trade and social determinants of health. Lancet. 2009;373:502–7. CrossRef
- Satterfield JM, Mitteness LS, Tervalon M, Adler N. Integrating the social and behavioral sciences in an undergraduate medical curriculum: the UCSF essential core. Acad Med. 2004;79:6–15. CrossRef
- Warnecke RB, Oh A, Breen N, Gehlert S, Paskett E, Tucker KL, Lurie N, Rebbeck T, Goodwin J, Flack J, et al. Approaching health disparities from a population perspective: the National Institutes of Health Centers for Population Health and Health Disparities. Am J Public Health. 2008;98:1608–15. CrossRef
- Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease. Jama. 2007;298:1685–7. CrossRef
- Gehlert S, Sohmer D, Sacks T, Mininger C, McClintock M, Olopade O. Targeting health disparities: a model linking upstream determinants to downstream interventions. Health Aff (Millwood). 2008;27:339–49. CrossRef
- Westerhaus M, Panjabi R, Mukherjee J. Violence and the role of illness narratives. Lancet. 2008;372:699–701. CrossRef
- Cells to Society. Overcoming health disparities. Chicago: Centers for Population Health and Health Disparities; 2007.
- Beddington J, Cooper CL, Field J, Goswami U, Huppert FA, Jenkins R, Jones HS, Kirkwood TB, Sahakian BJ, Thomas SM. The mental wealth of nations. Nature. 2008;455:1057–60. CrossRef
- Fiscella K, Tancredi D. Socioeconomic status and coronary heart disease risk prediction. Jama. 2008;300:2666–8. CrossRef
- Teaching About Health Disparities Using a Social Determinants Framework
Journal of General Internal Medicine
Volume 25, Issue 2 Supplement, pp 182-185
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- medical education
- health disparities
- social determinants of health
- Industry Sectors
- Author Affiliations
- 1. Department of Medicine, Brigham & Women’s Hospital and Harvard Medical School, Boston, MA, USA