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Social Determinants of Health Equity and Levels of Potential Impact in the System: Opportunities for Leverage Karen J. Minyard, Ph.D.Executive Director Georgia Health Policy Center Georgia State University
Georgia Health Policy CenterA Research Center at Georgia State University  ,[object Object]
Focuses on solutions to the most complex issues facing health        care today including: insurance coverage, children’s health,    health care reform, and the development of urban and rural health systems ,[object Object],[object Object]
How Healthy Are Georgians? Health Status by County
5 Georgia’s Health Ranking Among States: 2010
Factors Influencing Health Status Schroeder, Steven A., We Can Do Better -- Improving the Health of the American People, N Engl J Med 2007 357: 1221-1228
Social Determinants of Health Equity
Health Disparities The unequal burden in disease morbidity and mortality rates experienced by ethnic/racial groups as compared to the dominant group. Source: Healthy People 2010, US HHS, 2000
Social Determinants of Health The conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. Source: World Health Organization, 2008
Community-Level Determinants of Health Equity Source: Grantmakers in Health, 2009; Institute of Medicine, 2008; PolicyLink, 2002; Prevention Institute, 2003
Health Equity Best Practices CDC’s The Community Guide: ,[object Object]
Identified 200 community-based interventions in six areas
Reviews in three areas complete
Early childhood development = effective
Affordable and safe housing = effective
Access to culturally competent healthcare systems = insufficient evidenceEvidence-based interventions: ,[object Object]
Early Childhood DevelopmentSource: Anderson et al., 2003; CDC, 2009; Williams et al., 2008
National Examples of Early Childhood Development Best Practices Nurse-Family Partnership  ,[object Object]
Significant outcomes:
Reduced risks for antisocial behaviors for children
Reduced childhood injury

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Hinweis der Redaktion

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