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October 9, 2019

A Theoretical Framework for Clinical Implementation of Social Determinants of Health

Author Affiliations
  • 1Cardiovascular Division, Department of Medicine, Washington University School of Medicine in St Louis, St Louis, Missouri
  • 2Center for Health Economics and Policy, Institute for Public Health at Washington University in St Louis, St Louis, Missouri
JAMA Cardiol. Published online October 9, 2019. doi:10.1001/jamacardio.2019.3805

Social determinants of health (SDOH), such as education, occupation, housing, and social support, are widely recognized as key drivers of poor clinical outcomes, health care inequities, and escalating health care costs.1 The 2019 American Heart Association/American College of Cardiology guidelines for the prevention of cardiovascular disease recommend, for the first time, that clinicians consider social risk in clinical risk assessment for cardiovascular events.2 At the same time, in the policy community there is increasing emphasis on collecting SDOH data to improve risk adjustment, facilitate linkage with community partners, and prioritize state and federal policy efforts.

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