Reflecting Part Hospital Explained for Students (Easy Guide)

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Original Question

In reflecting on Part Two of The Hospital, it presents multiple examples of how social determinants of health (SDH) factor into healthcare. Income and proximity to resources are the two main SDH that stood out to me as having the most influence. In rural areas, such as Bryan Ohio, proximity or access to hospitals, specialty clinics, or even primary care may be limited by distance or by lack of transportation. The further someone lives from medical care, the risk of not surviving a medical event (i.e. heart attack, stroke, etc.), increases. In addition, the less likely someone may be to follow through on care of an existing condition, until it is too late. A prime example of this in Alexander’s book is Keith, who thought he was being compliant with care of his diabetes and his foot, but ultimately needed a further amputation. Keith did not qualify for Medicaid in Ohio and made too little at his jobs to afford health insurance on his own. If he had coverage, making payment of his medical bills a non-issue, and was able to see a doctor or attend regular clinic visits, would he have been able to better control his diabetes and prevent further amputation of his foot? Patients not being able to pay for services is another example of driving costs up for hospitals, which then is shifted to other patients or insurance companies. Another example are food deserts of food apartheid areas. This is shown in Alexander’s book with Shilo in West Unity. Even though she received M

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