Hilary Daniel, BS; Sue S. Bornstein, MD; Gregory C. Kane, MD; for the Health and Public Policy Committee of the American College of Physicians *
Financial Support: Financial support for the development of this position paper comes exclusively from the ACP operating budget.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2441.
Requests for Single Reprints: Hilary Daniel, BS, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, firstname.lastname@example.org.
Current Author Addresses: Ms. Daniel: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.
Dr. Bornstein: 3111 Beverly Drive, Dallas, TX 75205.
Dr. Kane: Department of Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut Street, Philadelphia, PA 19107.
Author Contributions: Conception and design: H. Daniel, H.E. Gantzer, T.L. Henry, J.D. Lenchus, L. Viswanathan, A.M. Azah.
Analysis and interpretation of the data: H. Daniel, J.K. Carney, H.E. Gantzer, B.R. Nalitt, L. Viswanathan.
Drafting of the article: H. Daniel, G.C. Kane, J.D. Lenchus, B.M. McCandless.
Critical revision of the article for important intellectual content: H. Daniel, G.C. Kane, J.K. Carney, H.E. Gantzer, T.L. Henry, J.D. Lenchus, B.M. McCandless, L. Viswanathan, C.J. Murphy, A.M. Azah.
Final approval of the article: H. Daniel, S.S. Bornstein, G.C. Kane, J.K. Carney, H.E. Gantzer, T.L. Henry, J.D. Lenchus, J.M. Li, B.M. McCandless, B.R. Nalitt, L. Viswanathan, C.J. Murphy, A.M. Azah, L. Marks.
Administrative, technical, or logistic support: H. Daniel, S.S. Bornstein, G.C. Kane.
Collection and assembly of data: H. Daniel, T.L. Henry.
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.
Daniel H, Bornstein SS, Kane GC, for the Health and Public Policy Committee of the American College of Physicians. Addressing Social Determinants to Improve Patient Care and Promote Health Equity: An American College of Physicians Position Paper. Ann Intern Med. ;168:577–578. doi: 10.7326/M17-2441
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Published: Ann Intern Med. 2018;168(8):577-578.
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