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Data, Social Determinants, and Better Decision-making for Health: the 3-D Commission
- Source :
- Journal of Urban Health : Bulletin of the New York Academy of Medicine
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- More than a decade after the World Health Organization Commission on the Social Determinants of Health (SDoH), it is becoming widely accepted that social and economic factors, including but not limited to education, energy, income, race, ethnicity, and housing, are important drivers of health in populations. Despite this understanding, in most contexts, social determinants are not central to local, national, or global decision-making. Greater clarity in conceptualizing social determinants, and more specificity in measuring them, can move us forward towards better incorporating social determinants in decision-making for health. In this paper, first, we summarize the evolution of the social framing of health. Second, we describe how the social determinants are conceptualized and contextualized differently at the global, national, and local levels. With this, we seek to demonstrate the importance of analyzing and understanding SDoH relative to the contexts in which they are experienced. Third, we problematize the gap in data across contexts on different dimensions of social determinants and describe data that could be curated to better understand the influence of social determinants at the local and national levels. Fourth, we describe the necessity of using data to understand social determinants and inform decision-making to improve health. Our overall goal is to provide a path for our collective understanding of the foundational causes of health, facilitated by advances in data access and quality, and realized through improved decision-making.
- Subjects :
- medicine.medical_specialty
Health (social science)
media_common.quotation_subject
Ethnic group
Commission
Health informatics
Article
law.invention
Social determinants of health
law
Ethnicity
medicine
Humans
Quality (business)
Sociology
media_common
Data
Frameworks
business.industry
Public health
Public Health, Environmental and Occupational Health
SDoH
Public relations
Urban Studies
Framing (social sciences)
Housing
Income
CLARITY
Educational Status
business
Decision-making
Subjects
Details
- ISSN :
- 14682869 and 10993460
- Volume :
- 98
- Database :
- OpenAIRE
- Journal :
- Journal of Urban Health
- Accession number :
- edsair.doi.dedup.....b7b12d86b5703a98c34f4e11cba9cc45