Hollin Ilene L, Bonilla Bethney, Bagley Anita, Tucker Carole A
Department of Health Services Administration and Policy, Temple University College of Public Health, Philadelphia, PA, United States.
Center for Healthcare Policy and Research, University of California, Davis, Davis, CA, United States.
Front Rehabil Sci. 2022 Aug 11;3:831070. doi: 10.3389/fresc.2022.831070. eCollection 2022.
The healthcare research community increasingly recognizes the need to address social (SDOH) and environmental determinants of health (EDOH) to optimize health and healthcare. This is particularly relevant to disability and functioning and to those with child onset conditions that impair mobility and impact functioning and participation. Using the World Health Organization (WHO)'s International Classification of Functioning, Disability, and Health (ICF) as a comprehensive framework, this paper aims to discuss our understanding of the relationships between social and EDOH and outcomes among people with impaired mobility that impacts functioning. This paper offers suggestions for future developments and guidance to use SDOH and EDOH in research and clinical practice.
医疗保健研究界越来越认识到,有必要应对健康的社会决定因素(SDOH)和环境决定因素(EDOH),以优化健康状况和医疗保健。这对于残疾与功能,以及对于那些患有儿童期发病疾病、行动能力受损并影响功能和参与的人而言尤其相关。本文以世界卫生组织(WHO)的《国际功能、残疾和健康分类》(ICF)作为一个综合框架,旨在探讨我们对于社会和环境健康决定因素与行动能力受损且影响功能的人群的健康结果之间关系的理解。本文为未来发展提供建议,并为在研究和临床实践中运用社会健康决定因素和环境健康决定因素提供指导。