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Social and Economic Issues in Medicine

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Level
General public
Study
medical...
School/University
UFMG

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documents in English
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.ppt
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presentations
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38 slides
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  1. Social issues
    1. Socioeconomic status
    2. The relationship of mortality with socioeconomic status
    3. Value of the information
  2. Economic issues in medical care delivery
    1. An increasingly sophisticated public
    2. A public backlash against the perceived constraints on access to desired medical services
  3. Recommendations
  4. Bibliography

Medicine is practiced in a social, economic, and political context. It takes more than excellent medical care to improve the health of patients because many of the determinants of the health of individuals and populations lie outside traditional clinical activity. By contrast, 40% of premature deaths are attributed to personal behaviors, including patterns of eating and physical activity and decisions about smoking, drinking, illicit drug use, and sexual behavior...

[...] By contrast of premature deaths are attributed to personal behaviors, including patterns of eating and physical activity and decisions about smoking, drinking, illicit drug use, and sexual behavior Social Issues Socioeconomic status, which is determined by a person's income, education, and occupation, also exerts a strong influence on health status, in part by influencing patterns of behavior. In the United States, people in lower socioeconomic groups have higher rates of smoking, and there is a continuous gradient between health and socioeconomic status that persists well above the poverty line. [...]


[...] In contrast to the linear association between health and social class, however, there seems to be little health difference between individuals with moderate compared with high levels of social support. What can physicians do with this information? First, they can look for ways to encourage healthy behavior. Second, at key times of transition, such as during discharge planning for hospitalized patients, physicians should be attentive to the patient's social circumstances. For patients who are likely to be socially isolated, clinicians should encourage or arrange interactions with family, neighbors, religious organizations, or community agencies to improve the likelihood of an optimal outcome. [...]

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