A Consumer Advocacy Framework for Addressing Social Determinants of Health

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A Consumer Advocacy Framework for Addressing Social Determinants of Health

April is National Minority Health Month — a month-long initiative to raise awareness of and advance health equity for all racial and ethnic groups. As a way to reduce health disparities and advance health equity, hospitals, payers and policy makers have been increasingly interested in understanding and addressing the socioeconomic factors that affect health — or the social determinants of health. In light of this momentum, a group of consumer advocates have developed a guiding framework to address the social determinants of health so that efforts and interventions are evolving in a way that meets the needs of consumers and meaningfully includes consumer input and engagement.

The consumer community has long advocated for the adoption of upstream approaches that effectively identify and mitigate problems related to poor health, including access to healthy food, stable housing, and access to other social services. This document provides a guiding framework to help inform policymakers and the private sector in their emerging efforts to address the social determinants of health.

The following framework represents the shared values of a diverse and broad consumer community.

Health equity should be an explicit goal. Everyone in the United States should have a fair and just opportunity to live their healthiest life possible. Therefore, achieving health equity should be an explicit goal of all efforts to transform health care and the health care system. Without making equity an explicit goal, unintended consequences can further perpetuate and worsen existing health disparities.

Multi-sector partnerships are essential. The health care sector should establish partnerships with other sectors that are directly addressing social determinants rather than addressing them alone. Through partnership, the health care sector can share the responsibility to mitigate harmful social determinants of health and improve individual and population health.

A person-centered approach. Efforts to address the social determinants of health and to achieve health equity should be person-, family- and community-centered and reflect the perspectives, preferences, and decision-making of individuals and communities most affected.

Policymakers and the private sector can support efforts to address social determinants of health by:

The consumer community is encouraged to see a growing recognition of the social determinants of health from policymakers and the heath care sector. These recommendations are not an exhaustive list, but they highlight some of the essential elements of any policy solution or invention that policymakers or leaders in health care should consider.

Many well-intentioned health policies have had unintended consequences because of the lack of consumer input and engagement in decision-making processes. The opportunity to meaningfully address social determinants of health will be wasted if the voices and views of affected consumers, families, and communities are not valued and incorporated into policy actions at every level.

*According to an analysis by the Joint Center for Political and Economic Studies, between 2003 and 2006, 30.6% of direct medical care expenditures for African Americans, Asians, and Hispanics were excess costs due to health inequalities. While health equity is an economic issue, cost savings should not be the only factor considered when developing or evaluating interventions to address the social determinants of health.

A Consumer Advocacy Framework for Addressing Social Determinants of Health

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A Consumer Advocacy Framework for Addressing Social Determinants of Health

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