We know little about which transportation investments or initiatives are reducing transportation challenges and meeting people’s transportation needs. For example, are Complete Streets policies meeting the needs of community members? As Smart Growth America releases its best practices to evaluate the success of Complete Streets efforts, we at Salud America! want to draw attention to how transportation needs and barriers have been conceptualized. Across the fields of urban planning, public health, and health care are claims about how transportation impacts health and quality of life. However, regarding these impacts, transportation is often conceptualized only in terms of physical activity, pollution, safety, and/or access to medical care. Although transportation is often ...
Where you live can have a big impact on your health. Non-medical factors like where we are born, live, work, and age — known as the non-medical drives of health (NMDoH) — can influence health for better or worse. However, the U.S. has struggled to identify and help people with NMDoH issues. That's where NMDoH screening comes in. NMDoH screening is a questionnaire given to patients in a healthcare setting to help providers identify non-medical challenges to health. These include issues like financial hardship, transportation, housing, food, employment, and safety. Patients can then be referred to helpful community resources. Here are seven reasons to implement NMDoH screening in your healthcare system, hospital, or clinic.
1. NMDoH Screening Helps Patients Speak ...
At her annual wellness visit, Dr. Stormee Williams filled out a digital questionnaire that asked about her need for help with housing, transportation, food access, and other non-medical needs. Williams was taking an “Non-Medical Drivers of Health (NMDoH) Screener.” An NMDoH screener is a questionnaire to help healthcare workers identify a patient’s issues with the non-medical drivers of health. These are the conditions in which people are born, grow, work, live, and age, and the wider set of systems that shape life. If a screener finds a patient in need, healthcare workers can then connect the patient to community support and resources. Helping patients address these non-medical needs can help them achieve better health. Williams, fortunately, didn’t have non-medical ...
Challenges in health insurance coverage and healthcare access worsened during the pandemic, according to a new study in the journal Geospatial Health. The study found Latinos and African Americans were the most affected populations. “Our results suggest that loss of insurance coverage and reduced access to health services deepened inequities in an already uneven healthcare landscape, particularly for African American and Hispanic/Latino populations,” according to the study researchers. Let’s dive into what the data found and what this means for Latinos.
How Did COVID-19 Impact Healthcare for Latinos?
Study researchers – from CDC, the U.S. Department of Health and Human Services, and Johns Hopkins University Bloomberg School of Public Health – ...
Where you live can have a big impact on your health. In fact, our health is influenced by a variety of non-medical drivers, such as the conditions in which we are born, grow, live, work, and age. These conditions are known as the non-medical drivers of health (NMDoH). Addressing NMDoH is key to improving health for Latinos and all people, said Dr. Amelie Ramirez, leader of Salud America! and the Institute for Health Promotion Research at UT Health San Antonio, in a panel presentation on Dec. 5, 2023, at the San Antonio Breast Cancer Symposium. "What we’re finding is that [issues with NMDoH can] negatively impact our health," Ramirez said.
Screening for Non-Medical Drivers of Health (NMDoH)
Studies suggest that NMDoH accounts for between 30-55% of health outcomes. NMDoH ...
Individual health is influenced by a variety of non-medical factors, like where people are born, live, learn, work, play, worship, and age. These conditions are known as Non-Medical Drivers of Health (NMDoH). To help improve health and wellbeing through NMDoH, the White House and U.S. Department of Health and Human Services (HHS) have released new resources, including the first-ever U.S. Playbook to Address Non-Medical Drivers of Health. “It is clear that the health of our people does not exist in a vacuum, but it is affected by our access to stable housing, healthy food, and clean air to breathe,” said HHS Secretary Xavier Becerra. “It is crucial for HHS to tackle health care and public health holistically by addressing patients’ social ...
Spending on health is rising in America. Yet, ironically, health outcomes are getting worse. In fact, people here experience the worst health outcomes overall of any high-income nation. U.S. residents are more likely to die younger, and from avoidable causes, than residents of peer countries, according to a 2023 report from The Commonwealth Fund. Let’s compare health outcomes with peer countries to provide an important baseline for where we are in health outcomes and set a target for where we could be.
The U.S. and 5 Important Domains of Healthcare Systems
A 2021 study by The Commonwealth Fund compared five performance domains of health care systems across 11 high-income countries. Researchers found the U.S. ranks last on four of five domains: access to care (last)
...
Where you live can hurt or help your health. In fact, our health is influenced by a variety of non-medical factors, such as the conditions in which we are born, grow, live, work, and age. These conditions are known as non-medical drivers of health (NMDoH). Sometimes, needs can arise from differences in NMDoH. These needs include low wages and limited employee benefits; underperforming schools; lack of medical providers; unstable and unaffordable housing; low access to nutritious food; unreliable transportation options; and unsafe streets and parks. Here at Salud America!, we believe everyday people can make healthy changes in their community to address these needs. That’s right – you don’t need to hold political office to make a positive difference. Let’s ...
As more healthcare systems consider implementing a non-medical drivers of health (NMDoH) screening program to care for patients’ non-medical needs, we at Salud America! at UT Health San Antonio are sharing important tips in developing such a program. Today, we’re highlighting how often patients should be screened for NMDoH. While there is no evidence-based gold standard for how often screening should be conducted, lived experiences from clinics that have successfully implemented a NMDoH screening program can help healthcare facilities make critical decisions in designing their own screening program. Let’s explore the lived experiences of several of these clinics today!
Considerations in Determining Screening Frequency
Initially, it may seem most effective to screen ...
