Social Determinants of Health
In addition to health systems, approaches to reducing health inequities must incorporate social determinants of health in order to make significant impact. Social determinants of health make up the largest contribution to good health, or conversely undermine health. Social determinants of health include issues such as food security, nutrition, and safety systems; employment conditions; educational attainment; housing; transportation; and all of the policies and decisions that shape the physical, social and economic environments in which people live.
The CEHD engages combined approaches to reducing health inequities including addressing social determinants of health, including the following projects on:
I. Galveston Hurricane Ike Recovery
- The Gulf Coast SECURE Center, a collaboration of 7 institutions along the U.S. Gulf Coast supporting community based disaster planning and response to improve human health
II. Environmental Justice
- The Encuentro, a community meeting to support exchange and engagement on community concerns related to environmental health, and
- Toxic Tours, to give community members and local government an opportunity to see first hand some of the most challenging problems for environmental health in our communities.
View CEHD’s various products related to the Social Determinants in Health Program Area
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Improving Health Equity in Health System Health
In addition to social determinants of health, inequities are often created or perpetuated through the health care system itself. In order to reduce health inequities, barriers and challenges in the health system must be addressed, including improving access to health care services and quality of care, fair distributions of public health services, and reducing the economic consequences of ill health, such as bankruptcies due to the high cost of health care services and lost income due to illness.
CEHD is working on several projects to improve equity within the UTMB health care system, including Recommendations for improved monitoring of childhood lead levels, Improving the Charity Care Policy, Providing equity analyses of patient health outcomes and care through REAL Data (Race, Ethnicity, and Language Data), and contributing to Health Care Transformation through implementation of the Texas 1115 Waiver.
UTMB Charity Care Policy
Real Data Project
Health Care Transformation
LEAST Childhood Lead Program
View CEHD’s various products related to the Health Systems Solutions Program Area
Achieving health equity and realizing the Center’s vision of communities that are healthy, sustainable, resilient, and socially just will not only require action in the present day, but an ongoing commitment from generations of health professionals to come. Therefore, Leadership Training for Social Change in Health is the Center’s fourth key program area. Through training, capacity building, and educational opportunities on issues such as health equity, social determinants of health, and ethical engagement, the Center strives to create a health professional workforce prepared to deal with the challenge of meeting health goals both in the US and abroad.
Health Policy Training for UTMB Students - Coming Soon!!
Modules - Coming Soon!!
HDEART Health Disparities and Social Justice Workshop: Creating a health workforce to address health equity in the US
Student Training Scholarships provided by the CEHD
The Healthy Health Policy Lecture Series
Classes - Coming Soon!!
Health Impact Assessment Workshop
The Global Health Inter-Professional Core Course
Resiliency Training for the Washington State University Students
National Student Research Forum
The CEHD recognizes that health inequities occur not only within our own region and nation, but also between countries and of course within other countries, and that many times the dynamics driving health inequities function at global policy levels. Consequently, global health is another key program area for the Center. UTMB is home to well-developed Global Health educational, research, and service initiatives. The CEHD is proud to partner with other global health actors on campus and across the University of Texas System. Originally recruited to play an active role in global health at UTMB, Lexi Nolen’s first role in global health at UTMB was as Associate Director for the PAHO/WHO Collaborating Center for Training in International Health, under Dr. Janice Smith. More recently, she served as Director ad interim for the Center for Global Health Education (CGHE) and for the University of Texas System Global Health Resource Center. She currently serves as Associate Director of the Coordinating Center for Global Health. CEHD Administrative Coordinator Christen Miller holds a joint position with the CGHE supporting CGHE’s educational research agenda, as well as coordinating the Global Health Inter-professional Core Course and other special events for the CGHE.
Coordinating Center for Global Health
Student Training in Global Health Governance
International Leadership in Health Equity
The Center for Global Health Education
UT System Global Health Resource Center
Urban Governance for Reducing Health Inequities
View CEHD’s various products related to the Global Health Program Area