A multidisciplinary group at Zuckerberg San Francisco General Hospital has created an ED Social Medicine (EDSM) team to deliver better outcomes for patients who present to the ED and to lift some burden off the shoulders of providers. In operation since 2017, investigators are finding the EDSM team approach is delivering dividends on multiple fronts. They also believe they have created a roadmap to follow for other facilities struggling with similar concerns.
Health systems and their case management or population health departments could benefit from providing student nurses with clinical experience opportunities, such as calling complex care patients for follow-up. Nursing students, following a script aimed at assessing social determinants of health, contacted the high-risk patients of UC San Diego Health.
Case managers are learning more about how to include patients in their care transitions, as part of shared decision-making. The first step in shared decision-making is to assess the patient’s situation, followed by educating the patient about all facets of their self-care and health management.
It may help case managers identify obstacles and problems for patients who are serving or have served in the military if they view this service as a social determinant of health, a researcher suggests. Veterans struggle with many of the same social determinants of health as non-veterans, including housing instability, gambling, substance use, depression, food insecurity, and post-traumatic stress disorder.
Social determinants of health are the conditions in which people are born, grow, work, and age. Before learning more about surgical disparities and their effects on various racial and ethnic groups, researchers will need more of these data.