A Society of General Internal Medicine Position Statement on the Internists’ Role in Social Determinants of Health
Public Deposited- Creator
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Byhoff, E.
- Other Affiliation: Tufts University School of Medicine
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Kangovi, S.
- Other Affiliation: University of Pennsylvania
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Berkowitz, S.A.
- Affiliation: School of Medicine, Department of Medicine
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DeCamp, M.
- Other Affiliation: University of Colorado
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Dzeng, E.
- Other Affiliation: University of California, San Francisco
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Earnest, M.
- Other Affiliation: University of Colorado
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Gonzalez, C.M.
- Other Affiliation: Albert Einstein College of Medicine
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Hartigan, S.
- Other Affiliation: Virginia Commonwealth University
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Karani, R.
- Other Affiliation: Icahn School of Medicine at Mount Sinai
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Memari, M.
- Other Affiliation: Johns Hopkins University School of Medicine
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Roy, B.
- Other Affiliation: Yale Medicine
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Schwartz, M.D.
- Other Affiliation: NYU Grossman School of Medicine
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Volerman, A.
- Other Affiliation: University of Chicago
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DeSalvo, K.
- Other Affiliation: Google
- Society of General Internal Medicine
- Abstract
- The Society of General Internal Medicine (SGIM) represents the world’s leading academic general internists, dedicated to creating a just system of care in which all people can achieve optimal health. SGIM recognizes that to achieve this vision, we must expand our reach beyond the medical office and hospital bedside to identify and address the broader structures and living conditions that influence health—the social determinants of health (SDOH). Centuries of institutionalized oppression in the form of racism, sexism, and other forms of bigotry have created and perpetuated disadvantage. These underlying social values have translated into public policies and structures which affect the distribution ofmoney and power across society. These in turn have shaped living conditions and access to resources, which influence health behaviors and access to care, and ultimately health outcomes. SGIM acknowledges the full spectrum of SDOH including upstream policies, midstream environmental and behavioral factors, and downstream individual and clinical issues. We highlight an important distinction between societal SDOH that require policy and systems-level change, with downstream unmet individual social needs, like homelessness or food insecurity. The entire range of SDOH impacts the work we do, our ability to care for our individual patients, our partnerships with local community organizations, and our impact on population health and equity. SDOH should also be integrated in how we teach future physicians and collaborate with our colleagues in public health, social work, government, research, and partners in non-health sectors.
- Date of publication
- 2020
- Keyword
- human rights
- dizziness
- internal medicine
- licensing
- social stress
- doctor patient relationship
- health educator
- public health
- social problem
- health care access
- health equity
- medical education
- antihypertensive agent
- interpersonal communication
- blood pressure measurement
- medical specialist
- general internal medicine
- health impact assessment
- medical society
- human
- public policy
- physician attitude
- financial deficit
- health care policy
- leadership
- social determinants of health
- health care quality
- funding
- social psychology
- racism
- hypertension
- drug withdrawal
- DOI
- Resource type
- Article
- Rights statement
- In Copyright
- License
- Attribution 3.0 United States
- Journal title
- Journal of General Internal Medicine
- Journal volume
- 35
- Journal issue
- 9
- Page start
- 2721
- Page end
- 2727
- Language
- English
- ISSN
- 0884-8734
- Publisher
- Springer
Relations
- Parents:
- In Collection:
This work has no parents.
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