---
title: "Role of hospitals in addressing social determinants of health: A groundwater approach"
description: The Northwest AHEC Practice Support Team supports social, physical, and economic environments which promote attaining the full potential of health and well-being for all. This blog segment highlights impactful publications which promote improved health outcomes through Social Determinants of Health (SDOH) each month.
image: https://go.northwestahec.wakehealth.edu/hubfs/NWAHEC%20docs/SDOH%20(1).png
---

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# Practice Support Update Blog

## [Role of hospitals in addressing social determinants of health: A groundwater approach](https://go.northwestahec.wakehealth.edu/practicesupport/role-of-hospitals-in-addressing-social-determinants-of-health-a-groundwater-approach)

 Apr 7, 2022, 8:00:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team)

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The Northwest AHEC Practice Support Team supports social, physical, and economic environments which promote attaining the full potential of health and well-being for all. This blog segment highlights impactful publications which promote improved health outcomes through Social Determinants of Health (SDOH) each month.

Our featured [report](https://pubmed.ncbi.nlm.nih.gov/33505842/) this month discusses focusing on (SDOH) from the “groundwater” approach and lays out the metaphor of how health disparities have been addressed. 

![SDOH (1)](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/NWAHEC%20docs/SDOH%20(1).png?width=300&name=SDOH%20(1).png)The authors suggest that the focus has been primarily on “fixing the fish” as opposed to asking is there something wrong with the “groundwater” that has caused the fish to be injured. One of the primary takeaways is that racism and discriminatory practices, “the groundwater”, is the catalyst for persistent disproportionate health burdens and outcomes across race and ethnicity over time. And the way to reverse the effects is to focus on the groundwater as opposed to just trying to fix one issue or one group of people, “the injured fish”.

Finally, the article states the entity or entities that have the capacity and influence to be a major part of the groundwater solution are hospitals and academic medical centers. While at first this suggestion seems simple, the authors are careful to examine how powerful these institutions are in a community and the ways in which they play a critical role in addressing structural issues. The article also discusses the ways in which they say hospitals are “anchor institutions” that are well positioned to incorporate a groundwater approach beyond “fixing the fish” to target the underlying system shaping the health communities they serve.

 

[Role of hospital](https://pubmed.ncbi.nlm.nih.gov/33505842/)[s in addressing social determinants](https://pubmed.ncbi.nlm.nih.gov/33505842/)[of health: A groundwater approach](https://pubmed.ncbi.nlm.nih.gov/33505842/).  Dave G, Wolfe MK, Corbie-Smith G. (2021). Preventive Medicine Reports. 2021 Jan 8;21:101315. doi:10.1016/j.pmedr.2021.101315.eCollection 2021 Mar. PMID: 33505842   

 

 Tags: [Social Determinants of Health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/social-determinants-of-health), [health disparities](https://go.northwestahec.wakehealth.edu/practicesupport/topic/health-disparities)

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- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
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- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
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- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
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- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
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- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
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- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
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- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
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- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
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- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
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- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
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- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [ncir (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncir)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
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- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
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- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
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- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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