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Social determinants

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By Tyler Winkelman RWJF Clinical Scholar
Linden Farrer, Claudia Marinetti, Yoline Kuipers Cavaco, Caroline Costongs
UNLABELLED: POLICY POINTS: Many barriers hamper advocacy for health equity, including the contemporary economic zeitgeist, the biomedical health perspective, and difficulties cooperating across policy sectors on the issue. Effective advocacy should include persistent efforts to raise awareness and understanding of the social determinants of health. Education on the social determinants as part of medical training should be encouraged, including professional training within disadvantaged communities...
June 2015: Milbank Quarterly
Ronald Bayer, Sandro Galea
That clinical medicine has contributed enormously to our ability to treat and cure sick people is beyond contention. But whether and to what extent medical care has transformed morbidity and mortality patterns at a population level and what contribution, if any, it has made to the well-being and..
August 6, 2015: New England Journal of Medicine
Michael Westerhaus, Amy Finnegan, Mona Haidar, Arthur Kleinman, Joia Mukherjee, Paul Farmer
Research and clinical experience reliably and repeatedly demonstrate that the determinants of health are most accurately conceptualized as biosocial phenomena, in which health and disease emerge through the interaction between biology and the social environment. Increased appreciation of biosocial approaches have already driven change in premedical education and focused attention on population health in current U.S. health care reform. Medical education, however, places primary emphasis on biomedicine and often fails to emphasize and educate students and trainees about the social forces that shape disease and illness patterns...
May 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Roland Sturm, Deborah Cohen
BACKGROUND: Urban parks have received attention in recent years as a possible environmental factor that could encourage physical activity, prevent obesity, and reduce the incidence of chronic conditions. Despite long hypothesized benefits of parks for mental health, few park studies incorporate mental health measures. AIMS OF THE STUDY: To test the association between proximity to urban parks and psychological distress. METHODS: Cross-sectional analysis of individual health survey responses...
March 2014: Journal of Mental Health Policy and Economics
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