1. Social Determinants of Health
Arindam Basu
University of Canterbury
Email: arindam.basu@canterbury.ac.nz
26/February/2014

2. Health Care Organization
HEALTH CARE
INDIRECT COSTS
COST
QUALITY
ACCESS
EQUITABLE?
DIRECT COSTS
STRUCTURE
OUTCOMES
AVEDIS DONABEDIAN, 1988
PROCESS
REALIZED?

3. EQUITY vs EQUITABILITY
INJUSTICE
INEQUITY
INEQUALITY

5. Right to Health = = Right to Access
Health Care

6. HEALTH IS A RESOURCE  WE
SHOULD ALL HAVE ACCESS TO THIS
RESOURCE

7. Is this Resource Accessible to All?

8. Types of Access to Care
Access to Care
Realization of Access
Realized Access to Care
Potential Access
Equitability of Access
Equitable Access
Inequitable Access
Access Inequity

9. Determinants of Access to Care
Demographic Variables (Age,
Gender)
Clinico-Pathological Conditions
and Urgency
(Evaluated Need)
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Access to Care

10. Determinants of Access to Care
Biological or Need Variables
Demographic Variables (Age,
Gender)
Clinico-Pathological Conditions
and Urgency
(Evaluated Need)
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Social Variables
Access to Care

11. Determinants of Access to Care
Biological or Need Variables
Demographic Variables (Age,
Gender)
Right to Health
Right to Access Care
Social Justice
Clinico-Pathological Conditions
and Urgency
(Evaluated Need)
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Social Variables
Access to Care

12. Determinants of Access to Care
Biological or Need Variables
Demographic Variables (Age,
Gender)
Right to Health
Right to Access Care
Social Justice
Clinico-Pathological Conditions
and Urgency
(Evaluated Need)
Access to Care
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Social Variables
Better Health
Achievement

13. Equity of Access to Care
Biological or Need Variables
Demographic Variables (Age,
Gender)
Right to Health
Right to Access Care
Social Justice
Clinico-Pathological Conditions
and Urgency
(Evaluated Need)
Access to Care
Better Health
Achievement

14. Inequitable Access to Care
Right to Health
This Leads to Avoidable Hospitalizations,
And Unjustified Distribution of Health Outcomes
That Cannot Be Explained on the basis of
Variations or Inequality That Exists in Any
Society. Problem!
Right to Access Care
Social Justice
Access to Care
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Social Variables
Better Health
Achievement

15. Social Determinants of Health
Right to Health
Analyzing The Following Components and
models
Belong to the Principles of Social
Determinants of Health
Right to Access Care
Social Justice
Access to Care
Socioeconomic Status (Higher
gets Better)
Place of Living (Easier to Access
get Better)
Social Variables
Better Health
Achievement

16. Let’s Play with Some Real World Data
Now!