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 – ...
YOU. ARE. AWESOME.
You care about people's health in and out of the doctor's office ... and this Action Pack can help you!
Our team at Salud America!, led by Dr. Amelie Ramirez of UT Health San Antonio, wants to support you as you develop an screening program for the non-medical drivers of health in your clinic, hospital, or healthcare system. This 3-step action pack has FAQs, case studies, a conversation-starting model email, fact sheet, checklist on how to develop screening, and a guide on existing screening tools!
Before You Start...
Check out these materials: 💬 FAQs. What are the non-medical drivers of health? 📔 Fact Sheet on Screening. Use or share this resource to promote screening for the non-medical drivers of health. 📰 Read Case Studies. See how Nemours ...
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 ...
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)
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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 ...
Many healthcare facilities require healthcare staff to complete regular sensitivity trainings on competency, bedside manner, and similar topics. These trainings can help providers deliver compassionate care for overlooked patients. But, as more healthcare systems go the extra mile to create a non-medical drivers of health (NMDoH) screening program to care for patients’ non-medical needs, staff may need additional resources to guide conversations that are often deeply personal for some patients. Here’s how healthcare staff can build rapport with patients and gain confidence in discussing NMDoH, from housing to income.
Put Yourself in the Patient’s Shoes
Think about your patient’s demographics. What non-medical challenges to health do they face? What needs do they ...
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 the role of the screener and how to identify healthcare staff most suited to screen patients for NMDoH needs. While there is no evidence-based gold standard for how screening programs should be conducted or who should conduct the screening, 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. We’ll be exploring the lived experiences of one of these clinics ...
