#220 Social Determinants of Health with Karen DeSalvo MD

We’re going upstream! Dr. Karen DeSalvo (@KBDeSalvo) talks social determinants of health, arming us with a framework to consider this very challenging aspect of patient care. As Society for General Internal Medicine President and Chief Health Officer at Google Health, she shares her clinical and public health experience, including weathering Katrina in New Orleans. While our clinical care largely focuses on the downstream medical consequences, we must recognize the upstream social context to address the barriers to health and wellbeing.

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• Written and Produced by: Emi Okamoto MD
  
• Cover Art: Kate Grant MBChb, MRCGP
  
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Emi Okamoto MD
  
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  
• Guest: Karen DeSalvo MD, MPH, MSc
  

• Intro, disclaimer, guest bio 0:44
  
• Dr Desalvo’s one-liner 3:34
  
• Picks of the Week*- The Great Influenza book by John M Barry  5:01
  
• Dr Desalvo’s advice and past experience 6:10
  
• Case from Kashlak 10:30
  
• What about the evidence for social determinants? 13:40
  
• What to do about this in the clinic, and is it worth screening? 16:06
  
• Approaching as a team and with the community 19:40
  
• How do we affect the upstream, before the downstream consequences? 22:40
  
• NAM recommendations and framework 26:00
  
• The role of technology 30:00
  
• What are Social Determinants of Health (SDOH), and who they affect 34:00
  
• Start paying attention to SDOH 37:00
• Outro 38:49