social determinants-health

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Social Determinants of Health

Arindam BasuUniversity of Canterbury

Email: arindam.basu@canterbury.ac.nz26/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!

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