Health

Social Factors Determine Gaps in Health Quality and Care

Health care alone accounts for only 10 percent of health outcomes. Social and environmental factors (20 percent), genetics (30 percent), and behavior (40 percent) all have a greater influence on health than health care.

-- Brookings Report, Time for Justice (Oct. 19, 2016)

“[S]ocial determinants have far greater influence on [racial] health disparities than medical care alone.” — Brookings, Racial Segregation and Health.  For example, even though black adults are twice as likely to develop Type 2 diabetes as whites, such outcome disparity is attributed to modifiable  biological (primarily weight), neighborhood, psychosocial, socioeconomic, and behavioral risk factors. [JAMA Racial Disparity Diabetes, JAMA. 2017;318(24):2457-2465. doi:10.1001/jama.2017.19546]

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Life Gaps

Behind the gaps in measurable health care differences like the amount of maternal and prenatal health care, recovery time from hospital stays, and chronic health conditions, lie more entrenched and intertwined gaps in lived experiences of racial minorities and low-income families. See recent NY Times article https://www.nytimes.com/2018/04/11/magazine/black-mothers-babies-death-maternal-mortality.html 

Research Gaps

Research on access to healthcare [      ].  NIH recently launched a study to delve into why African-American men are more prone to aggressive prostate cancer than any other racial group. 

Cost-Benefit Considerations

Preventive health care vs emergency room visits and hospital stays, long-term chronic diseases and problems.  Early childhood health care together with childcare result in 13% ROI, boost upward mobility, lasting improvements. [Heckman 2017 study a]ABC dat

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