Session Type
Meeting
Search Results for Social Determinants
Abstract Number: 324
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: The period following hospital discharge is a vulnerable time for patients when increased self-care requirements are common. Low levels of health literacy and social support are thought to contribute to poor post-discharge outcomes. However, little research has specifically examined the role of health literacy alone or in combination with social support in predicting readmission […]
Abstract Number: 334
SHM Converge 2024
Background: A patient’s hospitalization encounter is a valuable opportunity to align potential social and structural barriers with the healthcare multidisciplinary team’s (MDT) resources for intervention. Teaching learners to assess and address social determinants of health (SDH) is a key objective of medical education and becoming a physician. Few studies describe curricula implementing these skills during […]
Abstract Number: 339
SHM Converge 2024
Background: The Association of American Medical Colleges identifies consideration of social determinants of health (SDoH) and patient-specific factors as key components of entrustable professional activities (Englander 2016). Prior studies of medical students and Internal Medicine (IM) residents demonstrated baseline gaps in integrating SDoH into clinical reasoning (CR) in the outpatient setting (Schwartz 2010, Wilhite 2020), […]
Abstract Number: 367
SHM Converge 2024
Background: The Centers of Medicare and Medicaid (CMS) in 2024 will require hospitals to screen and report two of the following five health-related social needs (HRSN): food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (1). These regulations improve screening, however, institutions are still left with questions on how to address these HRSN, […]
Abstract Number: 399
SHM Converge 2023
Background: The social determinants of health (SDOH) are widely recognized as having an important impact on health and mortality with up to 80% of health outcomes shaped by SDOH domains ( the conditions in which people are born, grow, work, live, and age). There is strong evidence that addressing unmet social needs can lower healthcare […]
Abstract Number: 426
Hospital Medicine 2020, Virtual Competition
Background: Social isolation and loneliness (SI+L), two largely silent social determinants of health (SDOH), are associated with negative health outcomes such as the increased risk of cardiovascular disease, higher rates of depression, increased hospital readmissions, and increased use of healthcare services. SI+L are also common, with one in five US adults reporting feelings of SI […]
Abstract Number: 436
Hospital Medicine 2020, Virtual Competition
Background: Social isolation (SI) is a largely silent and unrecognized social determinant of health that has negative health outcomes, including increased mortality, depression, hospital readmissions, and emergency room visits. In addition, a recent study revealed that SI and loneliness (L) are self-reported as often as food and housing insecurity. While hospitals readily work on food […]
Abstract Number: 465
Hospital Medicine 2020, Virtual Competition
Background: As hospital length of stay has shortened from an average of 6.5 days in 2015 to 4.5 days in 2019 (1), there is increased urgency for providers to efficiently address inpatient needs and to shift diagnostic and therapeutic management to outpatient settings. Patients are faced with increased self-care burdens, often tasked to implement complex […]
Abstract Number: 685
SHM Converge 2024
Case Presentation: A 45-year-old female with history of VSD presented with fever and fatigue. She had a systolic ejection murmur with palpable thrill best heard at the second intercostal space. Echocardiographic findings included severe RV hypertrophy (1.7 cm thick), infundibular pulmonary obstruction, perimembranous VSD (1.4×0.6 cm), and mobile tricuspid valve echodensities (Figure 1). Blood cultures […]
Abstract Number: 1114
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started […]