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Surgical Clinics: Introduction to Concepts of Social Determinants in Surgery
Allison R Wilcox1, Nichole Starr2
1Department of Surgery, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Abstract:
Social determinants of health (SDOH) are the societal conditions that influence an individual's experience of wellness, illness, life expectancy, and health outcomes, including conditions requiring surgery. We aim to define and contextualize the 10 SDOH defined by the World Health Organization, particularly with respect to their impact on surgical care. These include: (1) income and social protection; (2) education; (3) unemployment and job insecurity; (4) working life conditions; (5) food insecurity; (6) housing, basic amenities, and the environment; (7) early childhood development; (8) social inclusion and non-discrimination; (9) structural conflict; and (10) access to affordable health services of decent quality.
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