Social Determinants of Health in Surgery
A Primer for the Practicing Surgeon
- 1st Edition - September 27, 2023
- Imprint: Elsevier
- Editors: Samilia Obeng-Gyasi, Timothy M. Pawlik
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 3 6 6 - 5
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 2 3 6 7 - 2
“Social determinants of health” has been defined by the World Health Organization as the conditions in which people are born, grow, live, work, and age. These determinants can… Read more
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Request a sales quote“Social determinants of health” has been defined by the World Health Organization as the conditions in which people are born, grow, live, work, and age. These determinants can include factors such as housing, transportation, education, employment, and access to care. Social Determinants of Health: A Primer for the Practicing Surgeon provides a comprehensive, state-of-the art, definitive reference for the surgical community on this important topic, serving as an invaluable resource for surgeons, physicians, fellows, and residents.
Offers unique, practical content from experts in the field, with up-to-date information from both national and world leaders.
Covers various aspects of social determinants of health related to the surgical field, including internalization of social determinants of health; social determinants of health and disease initiation, progression, and outcomes; and social determinants of health from a research perspective.
Contains chapters on a wide range of topics as social determinants of health in surgery, including intersectionality, insurance, stress, finances, neighborhood, healthcare access, community engagement, literacy, and more.
Discusses study design and outcomes, interventions, and future directions in social determinants of health in surgery.
Consolidates today's available information on this timely topic into a single, convenient resource.
General Surgeons, Sub-Specialty Surgeons, Fellows, Residents in General Surgery
- Cover image
- Title page
- Table of Contents
- Copyright
- List of Contributors
- Foreword
- Preface
- Chapter 1. Social Determinants of Health in Surgery Overview
- Introduction
- Access to Care
- Poverty and Insurance
- Food and Housing Insecurity
- Systemic Racism and Allostatic Load
- Education
- Representation in Medicine
- Section I. Theoretical Frameworks for Social Determinants of Health
- Chapter 2. Internalizing Social Determinants of Health: The Ecosocial and Weathering Theories
- An Introduction to Social Epidemiology
- Ecosocial Theory
- Discrimination: An Embodiment Pathway
- Incorporating the Ecosocial Theory into Surgical Research
- Weathering Hypothesis
- Mechanisms Behind the Weathering Hypothesis
- Application of the Weathering Hypothesis
- Weathering in Surgical Research
- Chapter 3. Allostatic Load—Measurement Issues in Cancer Patients and Other Populations
- Introduction
- Allostatic Load Theory and Conceptual Development
- Allostatic Load in Cancer Populations
- Measurement Issues in Allostatic Load
- Case Example: Transdisciplinary Collaborative Center in Precision Medicine and Minority Men's Health
- Conclusions and Future Directions
- Chapter 4. The Conserved Transcriptional Response to Adversity: Prepared for Social Determinants of Health in Surgery
- Introduction
- Discovery of the Conserved Transcriptional Response to Adversity
- Health Implications
- Social Determinants of Health
- Interventions
- Measurement
- Prospects
- Section II. Social Determinants of Health in Surgery
- Chapter 5. Finances as a Social Determinant of Health in Surgery
- Introduction
- A Brief Overview of Health Economics and the Complexity of Cost
- The Patient Impact: Financial Toxicity
- Long-Term Financial Impacts: Employment Disruption and Bankruptcy
- What is High-Value Surgical Care and Why Does it Matter?
- Building High-Value Surgery
- The Future of Value-Based Surgical Care
- Conclusions
- Chapter 6. Neighborhood as a Social Determinant of Health in Surgery
- Introduction
- Commonly Used Measures of Neighborhoods
- Neighborhood Designations Specific to Healthcare
- Common Indexes to Measures Neighborhoods
- How Might Neighborhoods Influence Surgical Outcomes?
- Neighborhoods and Surgical Outcomes
- Developing Areas of Neighborhoods and Surgical Outcomes
- Chapter 7. Addressing the Social Determinants of Health to Enhance Clinical Trial Participation
- Introduction
- Current Data and Literature on Clinical Trial Participation
- Barriers to Participation in Clinical Trials Underlying the Social Determinants of Health
- Pathways and Mechanisms Through the Social Determinants of Health for Augmenting Recruitment and Retention in Clinical Trial Participation
- Conclusion
- Chapter 8. Race, Ancestry, and Social Determinants of Health in Surgery
- Overview
- Disparities in Surgical Management of Cancer Related to Race and SDOH
- Germline Genetic Aspects of Race Related to Ancestry, SDOH, and Breast Cancer Burden
- Conclusions
- Chapter 9. Community Engagement as a Social Determinant of Health in Surgery
- Identification of Social Determinants of Health
- Government Response to Addressing Social Determinants of Health
- Importance of Healthcare Provider Screening of Social Determinants of Health
- Role of the Surgical Healthcare Provider in Community Engagement
- Improving Representation in Clinical Trials
- Role of Patient Advocacy in Community Engagement
- Future Directions
- Chapter 10. Insurance as a Social Determinant of Health in Surgery
- Social Determinants of Health and Insurance Status
- Insurance Basics and Recent Policy Advances
- Discussion
- Chapter 11. Health Literacy
- What is Health Literacy?
- Health Literacy as a Social Determinant of Health
- Prevalence of Health Literacy
- Health Literacy and the Practice of Surgery
- Health Literacy Instruments
- Limited Health Literacy Cost
- Potential Challenges and Strategies to Address Health Literacy
- Conclusions and Future Directions
- Chapter 12. Psychological Stress and the Surgical Stressor
- Introduction
- Stressors and Stress Responses
- Illness as a Stressor
- Hospitalization and the Surgery Stressor
- Preoperative Responses in Association with Outcomes
- Stress Reduction to Reduce Anticipatory Stress and Improve Surgical Outcomes
- Section III. Research
- Chapter 13. Framing Theoretically Informed Social Determinants of Health Research Questions
- Background
- Theoretical Frameworks
- Research on Social Determinants of Health
- A Step-by-Step Guide on Framing Theoretically Informed Research Questions on SDH
- Conclusion
- Chapter 14. Social Determinants of Health: Study Designs and Outcomes
- Introduction
- Identifying the Research Question
- Select the Study Population
- Study Design
- Select the Outcomes
- Interpretation and Dissemination
- Conclusion
- Chapter 15. Interventions for Redressing Disparities Related to Social Determinants of Health in Surgery
- Background
- Data Collection
- Patient Interventions
- Provider Interventions
- Systemic Interventions
- Frameworks for Implementation of Equity-Focused Interventions
- Next Steps
- Chapter 16. Future Directions
- Glossary of key terms
- Index
- Edition: 1
- Published: September 27, 2023
- Imprint: Elsevier
- No. of pages: 176
- Language: English
- Paperback ISBN: 9780443123665
- eBook ISBN: 9780443123672
SO
Samilia Obeng-Gyasi
Samilia Obeng-Gyasi is Associate Professor of Surgery in the Division of Surgical Oncology, Department of Surgery at The Ohio State University, Wexner Medical Center, Columbus, OH, United States
Affiliations and expertise
Associate Professor of Surgery, Division of Surgical Oncology, Department of Surgery, The Ohio State University, Wexner Medical Center, Columbus, OH, United StatesTP
Timothy M. Pawlik
Dr. Timothy M. Pawlik received his undergraduate degree from Georgetown University and his medical degree from Tufts University School of Medicine. Dr. Pawlik completed surgical training at the University of Michigan Hospital and spent two years at the Massachusetts General Hospital as a surgical oncology research fellow. He then went on to advanced training in surgical oncology at The University of Texas M. D. Anderson Cancer Center in Houston. Dr. Pawlik’s main clinical interests include alimentary tract surgery, with a special interest in hepatic, pancreatic and biliary diseases. Dr. Pawlik has also completed a fellowship in medical ethics at the Harvard School of Public Health, as well as a Masters in Theology from Harvard Divinity School, Boston. In addition, Dr. Pawlik received a PhD from the Johns Hopkins Bloomberg School of Public Health in Clinical Investigations. Dr. Pawlik also received his Executive MBA Program from The Ohio State University Fisher Business School. Dr. Pawlik is the Chair of Surgery at The Ohio State University Wexner Medical Center where he holds The Urban Meyer III and Shelley Meyer Chair for Cancer Research. Dr. Pawlik is a past-President of the Association for Academic Surgery, past-President of the Americas Hepato-Pancreato-Biliary Association, co-President of the Surgical Biology II Club, as well as current President of the Association for Academic Surgery Foundation. Dr. Pawlik’s research focuses on determinations of factors associated with prognosis and staging of gastrointestinal cancers, as well as the economics of cancer care. He also studied patient/physician communication and patient engagement, as well as patient perception of cancer-care goals and the impact of social determinants of health.
Affiliations and expertise
Professor and Chair, Department of Surgery, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, Professor of Surgery, Oncology, and Health Services Management and Policy, Surgeon in Chief, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA