#4 - Beyond Medicine: How Social Determinants Shape Our Health

11/01/23 • 90 min

Explore how social factors like education, income, race, and neighborhoods impact our health. We discuss groundbreaking studies on the hidden forces shaping our well-being. Whether it's the challenge of food deserts or the promise of technological innovations in healthcare, this episode is packed with insights and stories that will change the way you think about health. We also talk about addressing social determinants of health with solutions through community engagement, policy advocacy, and public-private partnerships.
Timestamps:
(00:00:00) Channel Intro
(00:01:44) Introduction to Social Determinants of Health (SDOH)
(00:10:03) What are SDOH
(00:11:02) 5 Categories of SDOH
(00:14:52) SDOH or Not
(00:18:41) Global Perspective
(00:21:32) Deep Dive Into 5 Categories
(00:22:09) 1) Economic Stability
(00:28:39) 2) Education
(00:36:42) 3) Social and Community Context
(00:42:30) 4) Health and Healthcare
(00:45:28) 5) Neighborhood and the Built Environment
(01:01:01) Addressing SDOH
(01:02:01) 1) Community Engagement and Empowerment
(01:06:12) 2) Technological Innovations
(01:08:32) 3) Policy Changes and Advocacy
(01:12:12) 4) Public-Private Partnerships
(01:14:50) 5) Educational Initiatives
(01:17:35) 6) Built Environment and Urban Planning
(01:20:46) 7) Economic Interventions
(01:23:52) 8) Cultural Competence in Healthcare
(01:27:35) Conclusion
(01:29:37) Outro

Linktree: linktr.ee/gustavofrancopod

Linktree: linktr.ee/gustavofrancopod

Previous Episode

#3 - Healthy Nation or Wealthy Nation: Healthcare Spending in America

From shocking statistics revealing a 159-fold increase in national health expenditure over the past six decades to the startling disparities in health outcomes, we delve deep into the numbers, dissecting the enigmatic relationship between dollars spent and lives lived. As we journey through the past, present, and future of healthcare spending, we pose thought-provoking questions about the sustainability of our current path and the need for transformative change. We also compare the US healthcare system to the impressive Japanese healthcare model. It's an episode that challenges conventional wisdom, sparks curiosity, and leaves you pondering the profound impact of healthcare spending on our well-being.

Timestamps:
(00:00) Channel Intro
(01:44) Episode Introduction
(04:45) Defining Healthcare Expenditure
(07:45) Why is it Important
(10:34) Where the Money Goes
(20:12) Where the Money Comes From
(24:31) Spending History vs. Health Outcomes
(32:48) US vs. Japan - Spending and Outcomes
(41:40) Future of Healthcare Spending
(44:30) Conclusion Summary
(48:03) Outro

Linktree: linktr.ee/gustavofrancopod

Next Episode

#5 - Dr. Christopher King: Addressing Systemic Racism in Healthcare

Dr. Christopher King is the inaugural Dean of Georgetown University’s School of Health and an associate professor whose work focuses on healthcare, public health, and racial justice. With over 20 years of experience in the healthcare sector, Dr. King is a nationally recognized speaker on achieving equitable systems of care.

In this episode, Dr. King helps me navigate the complex terrain of racial inequalities in healthcare. We dissect systemic racism's deep-seated roots, from institutional biases to the pressing crisis of maternal mortality among African American women. Dr. King takes me through history to understand how past injustices shape today’s healthcare landscape, especially in the context of COVID-19 and Washington, D.C. He brings forward groundbreaking strategies to dismantle these disparities, focusing on atonement, diversity in the medical workforce, and the crucial role of public awareness. We conclude with a forward-looking discussion on how philanthropy, technology, and AI might reshape the pursuit of racial equality in healthcare.
Timestamps:

(00:00:00) Channel Intro

(00:02:00) Episode Intro

(00:05:40) Defining Race in Healthcare

(00:16:15) Defining Racism: Institutionalized, Personally-mediated, and Internalized

(00:26:19) Evidence: Maternal Mortality and Cancer

(00:32:50) Historical Context: Slavery, Jim Crow Era, Immigration, Eugenics, Sterilizations, Tuskegee Study, and Henrietta Lacks

(00:50:57) COVID-19 and Reconceptualizing Race

(00:54:50) Disparities in Washington D.C.

(01:04:00) Proximity to Black

(01:06:40) Medical Errors

(01:08:36) Tackling Racial Inequalities: Atonement, Measuring Racism, Workplace Diversity, and Awareness

(01:21:54) Philanthropy, Narcissism, and Social Media

(01:28:11) Artificial Intelligence

(01:31:04) Outro

Linktree: linktr.ee/gustavofrancopod

The Gustavo Franco Podcast - #4 - Beyond Medicine: How Social Determinants Shape Our Health

Transcript

Introduction

Welcome to this month’s episode of the Gustavo Franco Podcast where we will discuss social determinants of health. Have you ever thought about what else besides your genetic code and lifestyles choices can help determine your health outcomes? Well, that is exactly what we will discuss in this episode. Social determinants of health are non-medical factors that we can’t directly directly control. They are often described as the wider set of forces tha