- VernacularTitle:1. 格差時代に医学教育で取り組む「SDH (Social Determinants of Health) 」とは?
- Author:
Yuko TAKEDA
1
Author Information
- Keywords: Social determinants of health (SDH); Poverty; Health inequity; Health advocate; Curriculum development
- From:Medical Education 2019;50(5):415-420
- CountryJapan
- Language:Japanese
- Abstract: In the Model Core Curriculum for Medical Education revised in 2016, the aim to teach "social determinants of health (SDH) " appeared for the first time. In times of social disparity, socio-economic conditions, including unemployment and low income, sometimes discourage people from doing follow up visits to the clinic due to the copay. This happens despite the universal coverage of health insurance. The socio-cultural environment also affects individual health. For example, the sexual minority suffers from depression and suicidal risk due to prejudice in our society. The WHO states that SDH are mostly responsible for health inequities and should be tackled by health professionals. In this article, we discuss why we should teach medical students SDH and how we could implement the program to an already overloaded curricula.