even in the farmers markets. However, during the winter seasons there is a decrease in the availability of the fresh produce. So, these people would have to drive quite a way to get to the nearest market. B. Discussion of Social Determinants Social Determinants of health are an important part of the patient comprehensive health assessment because they could have a significant effect on the health outcomes of patients. For the patients in the low economic status, if they are without health insurance and or homeless this will have a huge impact on their ability to receive care for their illness, thus placing the patient at greater risk. Healthy People 2020 highlights the importance of addressing the social determinants of health by including “Create social and physical environments that promote good health for all” as one of the four overarching goals for the decade (Office of Disease Prevention and Health Promotion, n.d.). This emphasis is shared by the World Health Organization, whose Commission on Social Determinants of Health in 2008 published the report, Closing the gap in a generation: Health equity through action on the social determinants of health (ODPHP, n.d.). The emphasis is also shared by other U.S. health initiatives such as the National Partnership for Action to End Health Disparities and the National Prevention and Health Promotion Strategy (ODPHP, n.d.). B1. Identification of Social Determinants Currently my patient has health insurance and lives at home with his family. He has a social life and can access care with his primary care provider. His economic stability, education and access to health care are his top three determinants of health (Andermann, 2016). Economic Stability- He is 57 years of age and employed within an organization in which he has health insurance. He can support his family with medical expenses as well as maintain
Running head: Comprehensive Health Assessment for Patients and Populations 22 expenses within his budget. Although he shares that his current position salary is not equivalent to what he has been paid in previous positions, he is able to maintain his needs within his economic status. He can provide for his family through his employment and stability with their need for food, housing, while focusing on preventing any risk for poverty with his ability to work. Our health is also determined in part by access to social and economic opportunities; the resources and supports available in our homes, neighborhoods, and communities; the quality of our schooling; the safety of our workplaces; the cleanliness of our water, food, and air; and the nature of our social interactions and relationships (ODPHP, n.d). The conditions in which we live explain in part why some Americans are healthier than others and why Americans more generally are not as healthy as they could be (ODPHP, n.d).
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