Social Determinants of Health

ACI Website

Franca Facci (ISLHD) & Jenny Caspersonn (ACI)

Anthony Brown (HC NSW)

ACI Chronic Care Network & SDoH • Chronic Disease Management

• Innovate and share

• Forum on SDoH late 2014

• Desire to build a broader understanding of ways to tackle SDoH

• No desire to re-invent the wheel

• Recognition much has been done in the past

• Build on learnings

• Provide a resource for health staff to build their understanding

• Provide examples to showcase

Why SDoH and Chronic Care?

Developing Diabetes is more common in low income neighbourhoods

Living on a low income more likely to be food insecure

Patients with low incomes are less likely to meet targets for cholesterol, blood pressure and glycaemic control

More likely to have complications for diabetes

Higher mortality among people with diabetes

People with unmet social needs ae more likely to present to ED

Can be tackled at an individual level

However more can be done with a population approach

Well documented Kiran T, Pinto AD. BMJ Qual Saf 2016;0:1–3. doi:10.1136/bmjqs-2015-005008 http://qualitysafety.bmj.com/ on February 8, 2016

Approaches Clinical Settings

• Can be helpful linking people to services

• Program tackling efficiencies in health don’t allow teams to understand the broader social issues

• And can tend to narrow our focus even more

Population Based

• Need to be intentional – specifically state the need to tackle ‘social determinants’

• Co-design – listen to patients and carers to identify issues affecting their disease management

• Work with community agencies

• Advocacy (e.g. MSF)

Today • Provide you with information about the initiative

• Use it as a platform to promote common cause/s

• Help add examples

• Garner greater awareness for population based initiatives

• Assist to work across the continuum

• Build a greater health sector awareness of the value of advocacy in this area

Questions?