Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems
Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems
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DOI：
10.1111/1468-0009.12390
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发表时间：
2019-06-01
影响因子：
6.6
通讯作者：
Gottlieb, Laura M.
中科院分区：
文献类型：
--
作者：
Alderwick, Hugh;Gottlieb, Laura M.
健康的社会决定因素的语言目前在美国医疗保健领域很流行。然而，相同的词语和概念，例如健康的社会决定因素和人口健康，常常以不同的方式使用——有时具有截然不同的目标。 1 对于后期维特根斯坦的粉丝来说，这就是语言的运作方式：单词的意义在于它们的使用。 2 医疗保健术语的混乱并不是什么新鲜事。 3, 4 但随着越来越多的医疗保健系统设计新的干预措施来应对患者的社会环境，对含义的误解可能会产生重要影响。医疗保健、公共卫生和社会服务部门5之间的新合作——每个部门往往以不同的方式思考健康的社会决定因素和社会干预措施——将受益于对所使用的语言及其对实现其目标意味着什么的共同理解。清晰性还将有利于政策制定者探索（和测试）新的支付系统和
The language of the social determinants of health is currently in vogue in US health care. Yet the same words and concepts, such as social determinants of health and population health, are often used in different ways—sometimes with very different objectives. 1 This, for fans of the later Wittgenstein, is how language works: the meaning of words is in their use. 2 Confusion over health care jargon is nothing new. 3, 4 But misunderstandings over meanings could have important implications as a growing number of health care systems design new interventions to respond to patients’ social circumstances. New collaborations among the health care, public health, and social services sectors5—each often arriving with different ways of thinking about social determinants of health and social interventions—would benefit from a shared understanding of the language being used and what it means for achieving their objectives. Clarity would also benefit policymakers exploring (and testing) new payment systems and