scholarly journals The Mexican experience in monitoring and evaluation of public policies addressing social determinants of health

2016 ◽  
Vol 9 (1) ◽  
pp. 29030 ◽  
Author(s):  
Adolfo Martinez Valle
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Public Policies ◽  
Monitoring And Evaluation ◽  
Determinants Of Health ◽  
Evaluation Of Public Policies

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 Determinantes sociais, equidade e consultório na rua

2018 ◽  
Vol 12 (12) ◽  
pp. 3513
Author(s):  
Andressa Hoffmann Pinto ◽  
Vivian Costa Fermo ◽  
Caroline Cechinel Peiter ◽  
Vanessa Martinhago Borges Fernandes ◽  
Ivonete Teresinha Schülter Buss Heideman
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Public Policies ◽  
Homeless Persons ◽  
Determinants Of Health ◽  
Street People ◽  
Qualitative Descriptive ◽  
Care Health ◽  
La Red

RESUMOObjetivo: apresentar as experiências vividas por uma enfermeira no exercício de suas funções numa equipe de Consultório na Rua. Método: trata-se de um estudo qualitativo, descritivo, tipo relato de experiência, acerca das vivências de uma enfermeira ao atuar em uma equipe de Consultório na Rua. Resultados: vivenciaram-se situações de discriminação da população em situação de rua pela sociedade, incluindo profissionais de saúde, dificuldades de acesso à Rede de Atenção à Saúde por pessoas em situações de rua, injustiças sociais e lacunas entre as políticas públicas existentes e a sua aplicação na prática. Conclusão: evidenciou-se que a atuação da enfermeira no Consultório na Rua submerge a reflexão sobre os determinantes sociais da saúde presentes na população em situação de rua. Necessita-se, face às fragilidades referidas, de investimentos em educação permanente dos profissionais, da efetivação das políticas públicas existentes, do empoderamento do usuário para o exercício da cidadania e de investimentos em estudos nesta área do cuidado. Descritores: Atenção Primária à Saúde; Equidade em Saúde; Determinantes Sociais da Saúde; Vulnerabilidade Social; Pessoas em Situação de Rua; Enfermagem em Saúde Pública.ABSTRACT Objective: to present the experiences lived by a nurse in the exercise of her duties in a team of Doctor's Offices in the Street. Methodo: this is a qualitative, descriptive study, a type of experience report, about the experiences of a nurse while working in a team at the Office. Results: there were situations of discrimination of the population in a street situation by society, including health professionals, difficulties in accessing the Network for Health Care by street people, social injustices and gaps between existing public policies and their application in practice. Conclusion: it was evidenced that the nurse's role in the Street Office submerges the reflection on the social determinants of health present in the street population. It is necessary, given the weaknesses mentioned, of investments in the permanent education of professionals, the implementation of existing public policies, the empowerment of the user to exercise citizenship and investments in studies in this area of care. Descriptors: Primary Health Care; Health Equity; Social Determinants of Health; Social Vulnerability; Homeless Persons; Public Health Nursing.RESUMEN Objetivo: presentar las experiencias vividas por una enfermera en el ejercicio de sus funciones en un equipo de Consultorio en la calle. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia, acerca de las vivencias de una enfermera al actuar en un equipo de Consultorio en la calle. Resultados: se experimentaron situaciones de discriminación de la población en situación de calle por la sociedad, incluyendo profesionales de salud, dificultades de acceso a la Red de Atención a la Salud por personas en situaciones de calle, injusticias sociales y lagunas entre las políticas públicas existentes y su aplicación en la práctica. Conclusión: se evidenció que la actuación de la enfermera en el Consultorio en la calle sumerge la reflexión sobre los determinantes sociales de la salud presentes en la población en situación de calle. Se necesita, ante las fragilidades referidas, de inversiones en educación permanente de los profesionales, de la efectividad de las políticas públicas existentes, del empoderamiento del usuario para el ejercicio de la ciudadanía y de inversiones en estudios en esta área del cuidado. Descriptores: Atención Primaria de Salud; Equidad en Salud; Determinantes Sociales de la Salud; Vulnerabilidad Social; Personas sin Hogar; Enfermería en Salud Pública.

Addressing the Social Determinants of Health

2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez
Keyword(s):  
Twentieth Century ◽  
Los Angeles ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Activism ◽  
Determinants Of Health ◽  
Medical Attention ◽  
Community Center ◽  
Early Twentieth Century ◽  
The Social

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.

648-P: Do Social Determinants of Health (SDoH) Influence Participant Outcomes of Those Enrolled in the Diabetes Prevention Program, Montana 2015-2018?

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 648-P
Author(s):  
DOROTA CARPENEDO ◽  
SONJA TYSK ◽  
MELISSA HOUSE ◽  
JESSIE FERNANDES ◽  
MARCI K. BUTCHER ◽  
...  
Keyword(s):  
Social Determinants Of Health ◽  
Social Determinants ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Determinants Of Health ◽  
Participant Outcomes

Social determinants of health affecting treatment of pediatric brain tumors

2019 ◽  
Vol 24 (2) ◽  
pp. 159-165
Author(s):  
Jillian M. Berkman ◽  
Jonathan Dallas ◽  
Jaims Lim ◽  
Ritwik Bhatia ◽  
Amber Gaulden ◽  
...  
Keyword(s):  
African American ◽  
Health Disparities ◽  
Brain Tumors ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Cns Tumor ◽  
Initial Symptoms ◽  
Caucasian Patients

OBJECTIVELittle is understood about the role that health disparities play in the treatment and management of brain tumors in children. The purpose of this study was to determine if health disparities impact the timing of initial and follow-up care of patients, as well as overall survival.METHODSThe authors conducted a retrospective study of pediatric patients (< 18 years of age) previously diagnosed with, and initially treated for, a primary CNS tumor between 2005 and 2012 at Monroe Carell Jr. Children’s Hospital at Vanderbilt. Primary outcomes included time from symptom presentation to initial neurosurgery consultation and percentage of missed follow-up visits for ancillary or core services (defined as no-show visits). Core services were defined as healthcare interactions directly involved with CNS tumor management, whereas ancillary services were appointments that might be related to overall care of the patient but not directly focused on treatment of the tumor. Statistical analysis included Pearson’s chi-square test, nonparametric univariable tests, and multivariable linear regression. Statistical significance was set a priori at p < 0.05.RESULTSThe analysis included 198 patients. The median time from symptom onset to initial presentation was 30.0 days. A mean of 7.45% of all core visits were missed. When comparing African American and Caucasian patients, there was no significant difference in age at diagnosis, timing of initial symptoms, or tumor grade. African American patients missed significantly more core visits than Caucasian patients (p = 0.007); this became even more significant when controlling for other factors in the multivariable analysis (p < 0.001). African American patients were more likely to have public insurance, while Caucasian patients were more likely to have private insurance (p = 0.025). When evaluating survival, no health disparities were identified.CONCLUSIONSNo significant health disparities were identified when evaluating the timing of presentation and survival. A racial disparity was noted when evaluating missed follow-up visits. Future work should focus on identifying reasons for differences and whether social determinants of health affect other aspects of treatment.

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