Journal article
Integrating Social Determinants in Decision-Making Processes for Health: Insights from Conceptual Frameworks-the 3-D Commission
Journal of urban health, v 98(Suppl 1), pp 51-59
01 Aug 2021
PMID: 34480328
Abstract
The inclusion of social determinants of health offers a more comprehensive lens to fully appreciate and effectively address health. However, decision-makers across sectors still struggle to appropriately recognise and act upon these determinants, as illustrated by the ongoing COVID-19 pandemic. Consequently, improving the health of populations remains challenging. This paper seeks to draw insights from the literature to better understand decision-making processes affecting health and the potential to integrate data on social determinants. We summarised commonly cited conceptual approaches across all stages of the policy process, from agenda-setting to evaluation. Nine conceptual approaches were identified, including two frameworks, two models and five theories. From across the selected literature, it became clear that the context, the actors and the type of the health issue are critical variables in decision-making for health, a process that by nature is a dynamic and adaptable one. The majority of these conceptual approaches implicitly suggest a possible role for data on social determinants of health in decision-making. We suggest two main avenues to make the link more explicit: the use of data in giving health problems the appropriate visibility and credibility they require and the use of social determinants of health as a broader framing to more effectively attract the attention of a diverse group of decision-makers with the power to allocate resources. Social determinants of health present opportunities for decision-making, which can target modifiable factors influencing health-i.e. interventions to improve or reduce risks to population health. Future work is needed to build on this review and propose an improved, people-centred and evidence-informed decision-making tool that strongly and explicitly integrates data on social determinants of health.
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Details
- Title
- Integrating Social Determinants in Decision-Making Processes for Health: Insights from Conceptual Frameworks-the 3-D Commission
- Creators
- Diogo Correia Martins - London School of Hygiene & Tropical MedicineOpeyemi Babajide - Drexel University, Urban Health CollaborativeNason Maani - Rockefeller FoundationSalma M Abdalla - Rockefeller FoundationEduardo J Gómez - Rockefeller FoundationMontira J Pongsiri - Rockefeller FoundationSheila Tlou - Nursing Now, Tuggerah, AustraliaGabriel Matthew Leung - Rockefeller FoundationGeorges C Benjamin - Rockefeller FoundationEric Goosby - Rockefeller FoundationKatie Dain - Rockefeller FoundationJeanette Vega - Rockefeller FoundationZahra Zeinali - Rockefeller FoundationPreslava Stoeva - London School of Hygiene & Tropical MedicineSandro Galea - Boston UniversityJeffrey Sturchio - Rockefeller FoundationNana A Y Twum-Danso - Rockefeller Foundation
- Publication Details
- Journal of urban health, v 98(Suppl 1), pp 51-59
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000692303700002
- Scopus ID
- 2-s2.0-85113578604
- Other Identifier
- 991021960013904721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health