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Article: Integrating social determinants in decision-making processes for health: insights from conceptual frameworks—the 3-D commission

TitleIntegrating social determinants in decision-making processes for health: insights from conceptual frameworks—the 3-D commission
Authors
KeywordsDecision-making
Social determinants of health
Data
Health policy
Political science
Issue Date2021
PublisherSpringer New York LLC. The Journal's web site is located at https://www.springer.com/journal/11524
Citation
Journal of Urban Health, 2021, v. 98 n. suppl. 1, p. 51-59 How to Cite?
AbstractThe inclusion of social determinants of health offers a more comprehensive lens to fully appreciate and effectively address health. However, decision-makers across sectors still struggle to appropriately recognise and act upon these determinants, as illustrated by the ongoing COVID-19 pandemic. Consequently, improving the health of populations remains challenging. This paper seeks to draw insights from the literature to better understand decision-making processes affecting health and the potential to integrate data on social determinants. We summarised commonly cited conceptual approaches across all stages of the policy process, from agenda-setting to evaluation. Nine conceptual approaches were identified, including two frameworks, two models and five theories. From across the selected literature, it became clear that the context, the actors and the type of the health issue are critical variables in decision-making for health, a process that by nature is a dynamic and adaptable one. The majority of these conceptual approaches implicitly suggest a possible role for data on social determinants of health in decision-making. We suggest two main avenues to make the link more explicit: the use of data in giving health problems the appropriate visibility and credibility they require and the use of social determinants of health as a broader framing to more effectively attract the attention of a diverse group of decision-makers with the power to allocate resources. Social determinants of health present opportunities for decision-making, which can target modifiable factors influencing health—i.e. interventions to improve or reduce risks to population health. Future work is needed to build on this review and propose an improved, people-centred and evidence-informed decision-making tool that strongly and explicitly integrates data on social determinants of health.
Persistent Identifierhttp://hdl.handle.net/10722/304568
ISSN
2020 Impact Factor: 3.671
2020 SCImago Journal Rankings: 1.211
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMartins, DC-
dc.contributor.authorBabajide, O-
dc.contributor.authorMaani, N-
dc.contributor.authorAbdalla, SM-
dc.contributor.authorGómez, EJ-
dc.contributor.authorPongsiri, MJ-
dc.contributor.authorTlou, S-
dc.contributor.authorLeung, GM-
dc.contributor.authorBenjamin, GC-
dc.contributor.authorGoosby, E-
dc.contributor.authorDain, K-
dc.contributor.authorVega, J-
dc.contributor.authorZeinali, Z-
dc.contributor.authorStoeva, P-
dc.contributor.authorGalea, S-
dc.contributor.authorSturchio, J-
dc.contributor.authorTwum-Danso, NAY-
dc.date.accessioned2021-09-23T09:01:55Z-
dc.date.available2021-09-23T09:01:55Z-
dc.date.issued2021-
dc.identifier.citationJournal of Urban Health, 2021, v. 98 n. suppl. 1, p. 51-59-
dc.identifier.issn1099-3460-
dc.identifier.urihttp://hdl.handle.net/10722/304568-
dc.description.abstractThe inclusion of social determinants of health offers a more comprehensive lens to fully appreciate and effectively address health. However, decision-makers across sectors still struggle to appropriately recognise and act upon these determinants, as illustrated by the ongoing COVID-19 pandemic. Consequently, improving the health of populations remains challenging. This paper seeks to draw insights from the literature to better understand decision-making processes affecting health and the potential to integrate data on social determinants. We summarised commonly cited conceptual approaches across all stages of the policy process, from agenda-setting to evaluation. Nine conceptual approaches were identified, including two frameworks, two models and five theories. From across the selected literature, it became clear that the context, the actors and the type of the health issue are critical variables in decision-making for health, a process that by nature is a dynamic and adaptable one. The majority of these conceptual approaches implicitly suggest a possible role for data on social determinants of health in decision-making. We suggest two main avenues to make the link more explicit: the use of data in giving health problems the appropriate visibility and credibility they require and the use of social determinants of health as a broader framing to more effectively attract the attention of a diverse group of decision-makers with the power to allocate resources. Social determinants of health present opportunities for decision-making, which can target modifiable factors influencing health—i.e. interventions to improve or reduce risks to population health. Future work is needed to build on this review and propose an improved, people-centred and evidence-informed decision-making tool that strongly and explicitly integrates data on social determinants of health.-
dc.languageeng-
dc.publisherSpringer New York LLC. The Journal's web site is located at https://www.springer.com/journal/11524-
dc.relation.ispartofJournal of Urban Health-
dc.subjectDecision-making-
dc.subjectSocial determinants of health-
dc.subjectData-
dc.subjectHealth policy-
dc.subjectPolitical science-
dc.titleIntegrating social determinants in decision-making processes for health: insights from conceptual frameworks—the 3-D commission-
dc.typeArticle-
dc.identifier.emailLeung, GM: gmleung@hku.hk-
dc.identifier.authorityLeung, GM=rp00460-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1007/s11524-021-00560-z-
dc.identifier.pmid34480328-
dc.identifier.pmcidPMC8415431-
dc.identifier.scopuseid_2-s2.0-85113578604-
dc.identifier.hkuros325228-
dc.identifier.volume98-
dc.identifier.issuesuppl. 1-
dc.identifier.spage51-
dc.identifier.epage59-
dc.identifier.isiWOS:000692303700002-
dc.publisher.placeUnited States-

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