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Social Determinants Of Health Assignment Discussion

Social Determinants Of Health Assignment Discussion

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Whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health

There should be the addition of access to broadband internet as a major area of the SDOH. The COVID-19 pandemic demonstrated that the other SODOHs are influenced by lack of access to broadband internet.  Reduced access to broadband during the pandemic had the potential to worsen the existing health disparities in the United States since it has a disproportionate impact on already vulnerable individuals.  Under normal circumstances, ethnic/ racial minorities, the elderly, low-income individuals, rural residents, and those with lower education attainment might have worse outcomes and even have less likelihood of accessing resources that enhance health during social isolation (Benda et al., 2020)Social Determinants Of Health Assignment Discussion. Pandit et al. (2023) emphasize that with telehealth more and more becoming an essential method of delivery of health care during COVID-19 and access to broadband being a prerequisite to telehealth, access to broadband internet is swiftly turning into a major SDOH.

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Connection to the internet and digital literacies are SDOH since they address other SDOH.  For example, housing, employment, and assistance programs, which influence the health of individuals are increasingly applied and at times only accessible online. Unfortunately, 15 to 24 percent of Americans do not have any form of broadband connection to the internet and 38 percent of low-income households do not have a broadband subscription (Sieck et al., 2021)Social Determinants Of Health Assignment Discussion.  Benda et al. (2020) emphasize that is increasingly becoming essential for searching and applying for jobs, filling for benefits, for instance, unemployment benefits and working. For instance, during COVID-19, remote working was a requirement for many individuals in the United States in white-collar jobs since it was that they had access to reliable broadband internet. To help Americans with benefit applications, job searches, and work during COVID-19, some social and public service institutions made Wi-Fi available in their parking spaces to permit visitors to utilize it. This emphasizes the way access to broadband internet is a SDOH and critical to economic stability.

How telemedicine can impact and be impacted by the social determinants of health

The COVID-19 pandemic imposed social isolation in most nations. This has led to the acceleration of the transition to telemedicine/ telehealth, which is now the most frequently used method of outpatient care delivery in several places. According to Benda et al. (2020), in the  United States, nearly impossible for individuals who have no access to telecommunications technology to consult a healthcare provider.  The country’s health care systems have changed the majority of outpatient care to telehealth, particularly video visits. It is estimated that one in four United States residents lack devices and broadband internet access essential to engage in video visits…  Pandit et al. (2023) emphasize for high-quality telehealth visits, adequate access to high-speed broadband internet is a necessity.  Broadband internet with greater than 25 Mbps and greater than 3Mbps download speed and upload speed is adequate for a provider to perform a high-quality telehealth visit with a patient.

To facilitate the adoption of digital innovations such as telehealth, health systems, healthcare providers and patients need to adapt to utilize telehealth technology as a portion of their healthcare workflows.  Phuong et al. (2023) posit access to reliable broadband connectivity and hardware components is vital to access to most digital innovations.  In the more remote rural regions, broadband internet might not be affordable despite its regional availability, leaving individuals behind in digital divide. As a result of unresolved internet connectivity and distance to care many low socioeconomic, rural, and minority communities might not be able to access telehealth services. Social Determinants Of Health Assignment Discussion

References
Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband Internet Access Is a Social Determinant of Health! American Journal of Public Health, 110(8), 1123-1125. doi: 10.2105/AJPH.2020.305784
 Pandit, A. A., Mahashabde, R. V., Brown, C. C., Acharya, M., Sloulths, C. C., Eswaran, H., & Hayes, C. (2023). Association between broadband capacity and telehealth utilization among Medicare Fee-for-service beneficiaries during the COVID-19 pandemic.  Journal of Telemedicine and Telecare, 5, 1357633X231166026. doi: 10.1177/1357633X231166026
Phuong, J., Ordonez, P., Cao, J., Moukheiber, M., Moukheiber, L., Caspi, A., Swenor, B. K., Naawu, D. K., & Mankof, J. (2023). Telehealth and digital health innovations: A mixed landscape of access. PLOS Digital Health, 2(12), e0000401. doi: 10.1371/journal.pdig.0000401
 Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Soiefer, A. (2021). Digital inclusion as a social determinant of health. npj Digital Medicine, 4,52. https://doi.org/10.1038/s41746-021-00413-8

Reflect on the concept of social determinants of health as presented in the resources.

Contemplate whether digital inclusion or broad band access should be added to the 5 key areas of social determinants of health.
Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.
Post a description of your views on whether or not digital inclusion or broad band access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.

Please use these references as well as other you may find: Social Determinants Of Health Assignment Discussion

Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health!
Links to an external site.. American Journal of Public Health, 110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784

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Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

HealthIT.gov. (2018c). What is an electronic health record (EHR)?
Links to an external site. Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr

Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement
Links to an external site.. Pain Management Nursing, 19(3), 212–221.

Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of health
Links to an external site.. NPJ Digital Medicine, 4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications
Links to an external site.. Informatics, 4(3), 32–40.

Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systems
Links to an external site.. Permanente Journal, 26(3). https://doi.org/10.7812/TPP/21.156 Social Determinants Of Health Assignment Discussion

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