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- All Subjects: medicine
- Creators: School of Life Sciences
- Resource Type: Text
The social determinants of health (SDOH) represent factors that impact the health and effectiveness/compliance of a treatment plan for a patient. The SDOH include such factors as economic stability, education, home and community context, access to healthcare, neighborhood and built environment, and personal behavior. The purpose of this study is to determine the extent of collection and integration of SDOH into clinical practice, and the usefulness of this information in medical decision making. Following a thorough literature review, an online survey was deployed to physicians and administrators around the country, with the aim of answering the following questions: 1) Do provider practices collect information on a patient's social determinants of health? 2) If yes, how is that information being used, if at all? 3) If not, what is preventing them from doing so? 4) Do the answers to questions 1-3 differ based on the type of payment model (Fee-for-Service or Capitation) to which the practice is subject? The results of the study suggest that fee-for-service payment environments present less incentive to use a patient's SDOH in medical decision making.
This thesis focuses on Bram Stoker’s 1897 British novel 'Dracula' and its association of medical technology with a myriad of Victorian British societal anxieties, facilitating an examination of current and historical fears about medical intervention and medical innovation. Dracula’s parallel yet opposite portrayals of blood transfusion and vampirism allow fears of medical technology to be exaggerated and explored within the realm of the supernatural. In Dracula and today, the desire to restore the health of ourselves and our loved ones is accompanied by fears that medical treatment will cause harm; will reshape our conceptualization of death and thus our relationship with death; and, as new technologies with unestablished consequences are employed, that medical intervention may in fact erode our basic identity and humanity.