Social Determinants of Equity and Social Determinants of Health
Social determinants-health
16
Social Determinants of Health Arindam Basu University of Canterbury Email: [email protected] 26/February/2014
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Transcript of Social determinants-health
Social Determinants of Health
Arindam BasuUniversity of Canterbury
Email: [email protected]/February/2014
Health Care Organization
HEALTH CARE
COST QUALITY ACCESS
DIRECT COSTS
INDIRECT COSTS
STRUCTURE
PROCESSOUTCOMES
REALIZED?
EQUITABLE?
AVEDIS DONABEDIAN, 1988
EQUITY vs EQUITABILITY
INJUSTICEINEQUALITY
INEQUITY
RIGHT TO HEALTH
Right to Health = = Right to Access Health Care
HEALTH IS A RESOURCE WE SHOULD ALL HAVE ACCESS TO THIS RESOURCE
Is this Resource Accessible to All?
Types of Access to Care
Realized Access to Care Potential Access Equitable Access Inequitable Access
Access to Care
Realization of Access Equitability of Access
Access Inequity
Determinants of Access to Care
Access to Care
Demographic Variables (Age, Gender)
Clinico-Pathological Conditions and Urgency(Evaluated Need)
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Determinants of Access to Care
Access to Care
Demographic Variables (Age, Gender)
Clinico-Pathological Conditions and Urgency(Evaluated Need)
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Biological or Need Variables
Social Variables
Determinants of Access to Care
Access to Care
Demographic Variables (Age, Gender)
Clinico-Pathological Conditions and Urgency(Evaluated Need)
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Biological or Need Variables
Social Variables
Right to Health
Right to Access Care
Social Justice
Determinants of Access to Care
Access to Care
Demographic Variables (Age, Gender)
Clinico-Pathological Conditions and Urgency(Evaluated Need)
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Biological or Need Variables
Social Variables
Right to Health
Right to Access Care
Social Justice
Better Health Achievement
Equity of Access to Care
Access to Care
Demographic Variables (Age, Gender)
Clinico-Pathological Conditions and Urgency(Evaluated Need)
Biological or Need VariablesRight to Health
Right to Access Care
Social Justice
Better Health Achievement
Inequitable Access to Care
Access to Care
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Social Variables
Right to Health
Right to Access Care
Social Justice
Better Health Achievement
This Leads to Avoidable Hospitalizations, And Unjustified Distribution of Health OutcomesThat Cannot Be Explained on the basis ofVariations or Inequality That Exists in AnySociety. Problem!
Social Determinants of Health
Access to Care
Socioeconomic Status (Higher gets Better)
Place of Living (Easier to Access get Better)
Social Variables
Right to Health
Right to Access Care
Social Justice
Better Health Achievement
Analyzing The Following Components and modelsBelong to the Principles of Social Determinants of Health
Let’s Play with Some Real World Data Now!
