“…It is particularly important when coping with chronic, complex conditions, such as diabetes or cardiovascular disease (Fang, Machtinger, Wang, & Schillinger, ; Schillinger et al, ), where the associated drug regimens can be complicated, and the suggested lifestyle changes challenging. Almost 40 percent of the patients on warfarin (a blood thinning medication) at Johns Hopkins Hospital, which is located adjacent to the Greenmount East neighborhood, read at a 6th grade level or below (Brown et al, ). It is difficult to follow a doctor's or a pharmacist's recommendations if one cannot read or comprehend the instructions provided.…”
Section: Social Determinants Of Health: Hypertension and Depressionmentioning
We are concerned that providing insurance for the previously uninsured will be seen as a panacea for resolving health disparities, for the social environment makes a tremendous difference in health outcomes. A careful examination of the factors involved in the social determinants of health shows that health insurance plays only a small role in alleviating health disparities. In this commentary, we highlight the complexity of the problem of the social determinants of health and health disparities in the United States by comparing two neighborhoods in Baltimore City and by examining hypertension and mental health disorders.
“…It is particularly important when coping with chronic, complex conditions, such as diabetes or cardiovascular disease (Fang, Machtinger, Wang, & Schillinger, ; Schillinger et al, ), where the associated drug regimens can be complicated, and the suggested lifestyle changes challenging. Almost 40 percent of the patients on warfarin (a blood thinning medication) at Johns Hopkins Hospital, which is located adjacent to the Greenmount East neighborhood, read at a 6th grade level or below (Brown et al, ). It is difficult to follow a doctor's or a pharmacist's recommendations if one cannot read or comprehend the instructions provided.…”
Section: Social Determinants Of Health: Hypertension and Depressionmentioning
We are concerned that providing insurance for the previously uninsured will be seen as a panacea for resolving health disparities, for the social environment makes a tremendous difference in health outcomes. A careful examination of the factors involved in the social determinants of health shows that health insurance plays only a small role in alleviating health disparities. In this commentary, we highlight the complexity of the problem of the social determinants of health and health disparities in the United States by comparing two neighborhoods in Baltimore City and by examining hypertension and mental health disorders.
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