Peer Response B (4 sentences each)

Reply to at least two different classmates’ posts that discuss alternate models and debate why or why not the model is the most relevant in the American Care Delivery System. For example:  If you chose the “WHO” model for your initial post, you should respond to classmates who selected the two alternate models (one response post per alternate model) and explain how each model differs from the “WHO” model.

References are only required in your initial post. References are not required in your responses to other students. Link to course text: https://drive.google.com/file/d/1ex1RzJd2L3IUNOHmDsvMgS4hvugEa-vv/view?usp=sharing

Initial question (DO NOT ANSWER):

There are three Contemporary Models of Health Determinants.  They are:

  • Dahlgren and Whitehead model (was the one chosen)
  • Ansari and Colleagues model
  • WHO Commission on Social Determinants of Health Conceptual Framework

In your discussion:

  1. Choose one model and explain:
    • the type of model
    • why the model is or is not the most relevant model of care delivery in the American Care Delivery System
    • how the model addresses the issue of social justice

Response 1:

Ansari and Colleagues Model

Ansari and Colleagues introduced a public health model in 2003 based on three social areas. It includes the social environment, social identity, and social position. So, based on where you live, the groups identified with, or one’s social-economic class, this model could cause an unequal distribution of goods and services.

This model states that certain determinates decide the conditions of our health. They are biological, basic needs, exposure to hazards, behaviors, access to healthcare, and psycho-social conditions. In other words, this model in America exposes the inequity of healthcare to those who lack access to nutritious foods, healthcare, stay in poor living conditions, drink or smoke, have poor mental health are at risk of poor health and disease.

References:

Martin, G. (2019, March 04). The Social Determinants of Health. A Public Health framework. YouTube. Retrieved October 01, 2020, from https://www.bing.com/videos/search?q=Education+and+Social+Determinants+of+Health

Shi, L. and Singh, D., 2019. Delivering health care in America. Seventh Edition. Jones & Bartlett Learning. LCCN 2017015329

Response 2:

WHO Commission on Social Determinants of Health Conceptual Framework

Until recently, health determinants were lifestyle, genetics, and behavior. Environmental, and physical influences, previous medical care and social factors were not considered when examining an individual’s health. This changed when, “the Commission on Social Determinants of Health was set up by the World Health Organization (WHO) in 2005 to marshal the evidence on what can be done to promote health equity” (CHSD, 2008). According to the CDC  “(social determinants of health) encompasses economic and social conditions that influence the health of people and communities” (NCHHSTP Social Determinants of Health, 2019). Before, these factors were emphasized in the healthcare system the health gap between generations and economic status were considerably large and growing.

The American health system came to utilize the evidence and policies to improve the access and quality of overall healthcare. The article Beyond Healthcare describes an “emerging efforts to address non-medical, social determinants of health within the context of the health care delivery system. These include multi-payer federal and state initiatives, Medicaid initiatives led by states or by health plans, as well as provider-level activities focused on identifying and addressing the non-medical, social needs of their patients” (Hinton, 2018).

Considering social injustice and it’s direct impact on health, the World Health Organization emphasizes “Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others” (CHSD, 2008). It is the reason healthcare can no longer be looked at from a lifestyle and genetic perspective but as community health perspective.

Works Cited

CHSD. (2008). Closing the gap in a generation: health equity through action on the social determinates of health. Retrieved from World Health Organization: https://apps.who.int/iris/bitstream/handle/10665/69832/WHO_IER_CSDH_08.1_eng.pdf?sequence=1

Hinton, S. A. (2018, May 10). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity. Retrieved from KFF: https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/

NCHHSTP Social Determinants of Health. (2019, December 19). Retrieved from CDC.gov: https://www.cdc.gov/nchhstp/socialdeterminants/faq.html