232 Is Medical Community Aware of the Impact of Social Determinants of Health (SDH) to Patient?

Wednesday, April 25, 2012
Abay Poster Exhibition and Hall (Millennium Hall)
Cheng-Yu Chen Buddhist Tzu Chi General Hospital, Taipei Branch, Taiwan
Hsin-Yun Huang SuChiang Chemical & Pharmaceutical Co., Ltd., Taiwan
As medicine advances, many diseases are known to be multifactorial etiology. In order to provide comprehensive health care, non-biological aspects of diseases, i.e. social determinants of health (SDH) of patient, should be taken into concern. Through many studies, SDH have emerged and the impacts to diseases are recognized. As the result, WHO has included SDH as a major worldwide health issue and called to improve urgently. Since the SDH involves a wide range of levels, further to governments, hospitals and physicians who are responsible for caring patients directly should be aware of the importance.
The aim of the assessment is to find out whether the knowledge of the SDH is recognized by medical community in Taipei, including hospitals and residents during training.
This study covers two partsF
FirstFWhen a patient visits hospital for the first time in Taiwan, hospital would require the patient to complete a form of “personal information" as an important page of the chart. Each hospital has its own selected items of “personal information". The content of the form is most likely to reflect the awareness of the hospitals in the issue of SDH.
In this study, we selected 13 hospitals in Taipei to assess how much information of SDH recorded in "personal information".
SecondF
Since family medicine physicians (FMP) are responsible for primary care, they are expected to provide comprehensive health care. Therefore, FMP need to understand more about the content of SDH, especially during their residency training.
In this study, we chose a medical center and a regional hospital and both are certified for training residents of family medicine. 30 new medical records from residents’ own out-patient clinic are selected in each hospital. We reviewed these medical records to find out whether these residents had recorded sufficient information about SDH.

Learning Objectives: 1. To obtain the fact of recognition of SDH in medical community in Taipei area, Taiwan. 2. Describe the degree of understanding of the consequence and correlation between SDH and diseases in medical community in Taipei area, Taiwan. 3. Understand how to use 13 SDH indicators to assess whether hospitals and residents recognize the importance of SDH.