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Stakeholder Leaders Begin to Coalesce Around the Societal Gaps

机译：涉众领导人开始合并周围社会差距

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For several years now, the discussion around the social determinants of health (SDOH) has been ramping up in U.S. healthcare, with increasing interest in "connecting the dots" between the daily lived experiences of Americans, and their interactions with the formal healthcare system, with the understanding that approximately four-fifths of the determinants of an individual's health status lie outside the scope of formal healthcare system interactions. What remains challenging is not the concept of understanding these connections, but rather the execution of any kind of plans, given the complexity of both our U.S. healthcare delivery and payment systems, and the complex interaction between public entities in a country with a hyper-complicated mix of public and private entities operating around the well-being of the public. Still, hospitals, medical groups, and health systems are beginning to move forward, sometimes in conjunction with health plans. A July 2017 survey conducted by Deloitte found that 80 percent of hospitals have executive management teams committed to "establishing and developing processes to systematically address social needs as part of clinical care." It also found that hospitals are screening inpatient and high-utilizer populations (83 percent doing so) for social needs, though only 69 percent are screening more broadly in their communities. The problem remains that nearly 40 percent of hospitals reported in 2017 having no current capabilities to measure the outcomes of their activities.
机译：几年来,周围的讨论健康问题社会决定因素(SDOH)加大在美国医疗保健、增加之间的“连接这些点”的兴趣日常生活经验的美国人,他们的与正式的医疗体系的相互作用,约的理解的决定因素的4/5个人的健康状况在范围之外正式的医疗系统交互。仍然是具有挑战性的概念理解这些联系,而是执行任何计划,考虑到我们的美国卫生保健供给的复杂性支付系统和复杂的相互作用公共实体之间的国家hyper-complicated公共和私有的实体操作的幸福公众。卫生系统开始前进,有时与健康计划。德勤的调查发现,2017年7月80%的医院行政管理团队致力于建立和发展过程系统地满足社会需求作为临床护理的一部分。”医院住院和筛查high-utilizer人群(83%这样做)社会的需求,尽管只有69%筛选更广泛地在他们的社区。问题是,近40%的医院2017年报告没有电流能力来衡量的结果活动。

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