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Wider Determinants of Health

  • Sabine Bährer-KohlerEmail author
  • Brendan McLoughlin
Chapter

Abstract

Wider determinants of health are most complex, and there exists a complex interaction between lifestyle and the physical, social, and economic environment and individual characteristics. Wider determinants of health play an important role in the mental health of older adults. During primary care assessment of patients’ mental wellbeing, it is important to consider the broader influences on the individual, such as physical health, family/friends and social networks, finances/debts, alcohol and drug use, life events, etc. These wider determinants should be taken into consideration when giving health promotion information. As the wider determinants are often outside the scope of primary care, GPs and others should work with other professionals such as social workers in order to ensure holistic assessment of the older adult’s needs and appropriate care planning. Professionals should be mindful of cultural influences, diversities, and differences, maintaining the individual’s dignity during the process.

Keywords

Social determinants Life course Social networks Social support Social participation Diagnostic aspects Assessment tools Primary care assessment Health promotion Comprehensive primary health care 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.International University of Catalonia (UIC)BarcelonaSpain
  2. 2.Dr. Bährer-Kohler & PartnersBaselSwitzerland
  3. 3.Clinical Senior Cognitive Behavioural TherapistEfficacyLondonUK

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