American College of Physicians, Washington, DC (H.D.).
Texas Medical Home Initiative, Austin, Texas (S.S.B.).
Ann Intern Med. 2018 Apr 17;168(8):577-578. doi: 10.7326/M17-2441.
Social determinants of health are nonmedical factors that can affect a person's overall health and health outcomes. Where a person is born and the social conditions they are born into can affect their risk factors for premature death and their life expectancy. In this position paper, the American College of Physicians acknowledges the role of social determinants in health, examines the complexities associated with them, and offers recommendations on better integration of social determinants into the health care system while highlighting the need to address systemic issues hindering health equity.
社会决定因素是指那些非医学因素，但可以影响个人的整体健康和健康结果。一个人出生的地点和他们所处的社会环境会影响他们过早死亡的风险因素和预期寿命。在这份立场文件中，美国医师学院承认社会决定因素在健康中的作用，考察了与之相关的复杂性，并就如何更好地将社会决定因素纳入医疗保健系统提出了建议，同时强调需要解决阻碍健康公平的系统性问题。
