Their estimate says:
"On a population basis, using the best available estimates, the impacts
of various domains on early deaths in the United States distribute
roughly as follows: genetic predispositions, about 30 percent; social
circumstances, 15
percent; environmental exposures, 5 percent; behavioral patterns,
40 percent; and shortfalls in medical care, 10 percent.
I think this assessment is limited in that it separates the domains, as
if they act independently. It estimates that social circumstances
account for 15% of early death, yet it ignores the fact that social
circumstances profoundly influence environmental exposures, behavioral
patterns, and shortfalls in medical care.
Mike
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
Erin K. Knight
Sent: Wednesday, December 23, 2009 3:07 PM
To: [log in to unmask]
Subject: Re: [SDOH] Looking for information
See McGinnis et al (2002):
http://content.healthaffairs.org/cgi/reprint/21/2/78
---- Original message ----
>Date: Tue, 22 Dec 2009 14:29:51 -0800
>From: Social Determinants of Health <[log in to unmask]> (on behalf of Sandi
Bauer <[log in to unmask]>)
>Subject: [SDOH] Looking for information
>To: [log in to unmask]
>
> I am looking for information for a presentation in
> early January. The information is for a slide that
> speaks to the social determinants of health with the
> health delivery system only contributing 10% to the
> overall drivers of health in the US. Does anyone
> have a slide or reference that could be used to
> create it?
>
>
>
> Thank you for your consideration.
>
>
>
>
>
> Sandi Bauer MS, RN
>
> CSI Solutions, LLC
>
> [log in to unmask]
>
> 253 473 1716
>
> www.spreadinnovation.com
>
>
>
>
>
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