#220 Social Determinants of Health with Karen DeSalvo MD

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 18 June 2020

⏱️ 40 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

We’re going upstream! Dr. Karen DeSalvo (@KBDeSalvo) talks social determinants of health, arming us with a framework to consider this very challenging aspect of patient care. As Society for General Internal Medicine President and Chief Health Officer at Google Health, she shares her clinical and public health experience, including weathering Katrina in New Orleans. While our clinical care largely focuses on the downstream medical consequences, we must recognize the upstream social context to address the barriers to health and wellbeing.

Credits

Written and Produced by: Emi Okamoto MD
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Emi Okamoto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Karen DeSalvo MD, MPH, MSc

Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org for and create your FREE account!

Time Stamps

Intro, disclaimer, guest bio 0:44
Dr Desalvo’s one-liner 3:34
Picks of the Week*- The Great Influenza book by John M Barry 5:01
Dr Desalvo’s advice and past experience 6:10
Case from Kashlak 10:30
What about the evidence for social determinants? 13:40
What to do about this in the clinic, and is it worth screening? 16:06
Approaching as a team and with the community 19:40
How do we affect the upstream, before the downstream consequences? 22:40
NAM recommendations and framework 26:00
The role of technology 30:00
What are Social Determinants of Health (SDOH), and who they affect 34:00
Start paying attention to SDOH 37:00
Outro 38:49

Transcript

Click on a timestamp to play from that location

0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:07.0	And the topics discussed should not be used solely at Diagnostry, or prevent any diseases
0:09.8	or conditions.
0:10.8	For the more that you've been using, same as expressed on the podcast are solely those
0:11.8	of those, and should not be interpreted to reflect official policy or position of
0:14.1	gaining entity aside from possibly, cash like more hospital and affiliate outreach programs.
0:16.8	If indeed there are any, in fact there are none.
0:18.6	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.5	and let us know when we're wrong.
0:31.0	Well Paul, this was an exciting one getting to talk with Dr. Karen DeSalvo about social
0:38.5	determinants of health.
0:39.9	I know you were very much looking forward to it and she definitely delivered.
0:44.7	But before we get on to introducing our wonderful co-host for this show and telling you more
0:50.7	about Karen, how about you tell people what do we do on this show, Paul?
0:54.9	And as always, what is the meaning of life if you figured it out between now and the
0:59.1	last time I asked you?
1:00.8	It's for the nerds out there, it's 42.
1:04.7	And we are the internal medicine podcast.
1:06.5	We use expert interviews to renew clinical pearls and practice changing knowledge.
1:10.4	And what an expert interview we have with us tonight, Dr. Karen DeSalvo talking about
1:15.8	social determinants of health and broadly what we can do about it.
1:18.9	But I'm not going to get into that because we have also the great Dr. Emmy Okamoto with
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.