Concepts of health and US values and the history of health care services

  Based on your understanding of concepts of health and US values and the history of health care services, why do you think concepts like Social Determinants of Health have not been used as much in the health care industry? In your answer. you can consider the prevailing medical model (p. 53), anthro-cultural beliefs and values (pp. 84-86), and the history of health care services (132-134).

Sample Solution

     
  • The prevailing medical model: The prevailing medical model focuses on individual-level factors, such as genetics and lifestyle choices, as the primary determinants of health. This model often neglects the role of social and environmental factors, such as poverty, discrimination, and lack of access to healthcare, in influencing health outcomes.

Full Answer Section

     
  • Anthro-cultural beliefs and values: Cultural beliefs and values can also play a role in how people perceive and respond to health and illness. For example, some cultures may view health as a matter of individual responsibility, while others may view it as a community responsibility. These beliefs and values can make it difficult to implement interventions that address SDOH.
  • History of health care services: The history of health care services in the United States has been shaped by a number of factors, including the rise of private insurance, the development of the biomedical model, and the emphasis on acute care. These factors have led to a system that is focused on treating illness rather than preventing it.
In addition to these factors, there are a number of other challenges to incorporating SDOH into the health care industry. These include:
  • Lack of data: There is limited data on the impact of SDOH on health outcomes. This makes it difficult to develop and evaluate interventions that address these factors.
  • Lack of funding: There is limited funding available to address SDOH. This makes it difficult to implement large-scale interventions.
  • Lack of coordination: There is often a lack of coordination between different sectors, such as healthcare, education, and housing, which can make it difficult to address SDOH.
Despite these challenges, there is growing recognition of the importance of SDOH in influencing health outcomes. There are a number of initiatives underway to incorporate SDOH into the health care industry. These initiatives include:
  • The development of new payment models that reward providers for addressing SDOH.
  • The creation of new programs that provide social and economic support to patients.
  • The development of new research on the impact of SDOH on health outcomes.
These initiatives are still in their early stages, but they have the potential to transform the way health care is delivered in the United States. By addressing SDOH, we can improve the health of individuals and communities and create a more just and equitable health care system.  

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