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SDOH (1)-1Resources to help guide the delivery of care and training provided as part of our goal to enhance the health of the public.

Northwest Area Health Education Center (AHEC) and the Office of Continuing Medical Education (OCME) have developed goals to enhance the health of the public by intentionally addressing Social Determinants of Health (SDOH) in these service lines.

  • Library Services / Information Technology
  • Continuing Professional Development
  • Graduate Medical Education
  • Health Careers and Workforce Diversity
  • Practice Support Services
  • Student and Preceptor Support
  • Community Partnerships/Collaborations


Helpful Resources

    1. Addressing Social Determinants of Health Through Medical-Legal Partnerships. Regenstein M, Trott J, Williamson A & Theiss J. (2018). Health Affairs. 37, 378-385. doi:10.1377/hlthaff.2017.1264, 10.1377/hlthaff.2017.1264.
    2. Addressing the Social Determinants of Health During the COVID-19 Pandemic. Sandhu, Sahil BS; Lemmon, Monica E.MD; Eisenson, Howard MD; Crowder, Carolyn MSW; Bettger, Janet prvu ScD. (2021). Family & Community Health.44(2), 78-80. Doi:10.1097/FCH.0000000000000290.
    3. Aunt Bertha Connecting People and Programs(n.d.). Retrieved November 30, 2021
    4. Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity, Samantha Artiga Follow @SArtiga2 on Twitter and Elizabeth Hinton Published: May 10, 2018. (2019, July 9). 
    5. Buying Health for North Carolinians: Addressing Nonmedical Drivers Of Health At Scale. Wortman Z, Tilson EC, Cohen MK. (2020). Health Aff (Millwood). 39(4):649-654. doi: 10.1377/hlthaff.2019.01583. PMID: 32250668.
    6. Social Determinants of Health (SDOH). NEJM Catalyst, (2017). Retrieved November 30, 2021
    7. Centers for Disease Control and Prevention. ICD-10 Coordination and Maintenance Committee Meeting, Diagnosis Agenda, March 9-10, 2021.
    8. Medical-Legal Partnership in Western North Carolina: Addressing Social Determinants of Health Through Team-Based Care. Salter AS, Anderson GT, Gettinger J & Stigleman S. (2018). North Carolina Medical Journal, 79, 259-260. doi:10.18043/ncm.79.4.259, 10.18043/ncm.79.4.259.
    9. Monitoring health determinants with an equity focus: a key role in addressing social determinants, universal health coverage, and advancing the 2030 sustainable development agenda. Valentine NB, Koller TS & Hosseinpoor AR. (2016).Glob Health Action, Monitoring 34247. doi:10.3402/gha.v9.34247, 10.3402/gha.v9.34247
    10. NCCARE360 Building Connections for a Healthier North Carolina. (n.d.). The NC Resource Platform. Retrieved November 30, 2021
    11. Screening for Social Determinants of Health in Free and Charitable Clinics in North Carolina. J Health Care Poor Underserved. Palakshappa D, Scheerer M, Semelka CT, Foley KL. 2020;31(1):382-397. doi: 10.1353/hpu.2020.0029. PMID: 32037338
    12. Social Determinants of Health in Rural Communities Toolkit - RHIhub Toolkit.(n.d.). Retrieved November 30, 2021.
    13. Social determinants of health priorities of state Medicaid programs. Chisolm DJ, Brook DL, Applegate MS, Kelleher KJBMC Health Serv Res. 2019 Mar 14;19(1):167. doi: 10.1186/s12913-019-3977-5. PMID: 30871510; PMCID: PMC6419347.
    14. Social Determinants of Health. (n.d.). Healthy People. Retrieved November 30, 2021
    15. Social Determinants of Health. NCHHSTP. CDC. (2018, January 29). Retrieved November 30, 2021 
    16. Social Determinants of Health: Family Physicians' Leadership Role. American family physician, 99(8), 476–477. Sherin, K., Adebanjo, T., & Jani, A. (2019).
    17. Social Determinants of Health-Relevant History, A Call to Action, An Organization's Transformational Story, and What Can Employers Do? Osmick, JM & Wilson, M. (2020). Am J Health Promot. 34(2):219-224. doi: 10.1177/0890117119896122d. PMID: 31931600.
    18. Special Issue: Monitoring Health Determinants with an Equity Focus. Glob Health Action, St John J. (2018). 11(1), 141009
    19. Suburban Families' Experience with Food Insecurity Screening in Primary Care Practices. Pediatrics, Palakshappa, D., Doupnik, S., Vasan, A., Khan, S., Seifu, L., Feudtner, C., & Fiks, A. G. (2017). 140(1), e20170320.
    20. The Future of Medical Coding for Social Determinants of Health: North Carolina Institute of Medicine. Lyda-McDonald, B. (n.d.). Retrieved November 30, 2021
    21. The Medical-Legal Partnership Approach to Teaching Social Determinants of Health and Structural Competency in Residency Programs. Paul EG, Curran M & Tobin Tyler E. (2017). Academic Medicine, 92, 292-298. doi:10.1097/ACM.0000000000001494, 10.1097.
    22. The Relationship Between Social Determinants of Health and Racial Disparities in COVID-19 Mortality. Journal of Racial Ethnic Health Disparities. Dalsania AK, Fastiggi MJ, & Kahlam A. (2021) Jan 5:1–8. doi: 10.1007/s40615-020-00952-y. Epub ahead of print. PMID: 33403652.
    23. The Role of US Health Plans in Identifying and Addressing Social Determinants of Health: Rationale and Recommendations. Population health management, Heisler, M., Navathe, A., DeSalvo, K., & Volpp, K. (2019). 22(5), 371–373.
    24. The Social Determinants of Death. Health Affairs Blog, Weil, Alan, (2020). Retrieved November 30, 2021
    25. Think Cultural Health. (n.d.) Retrieved November 30, 2021
    26. Where Is "Family" in the Social Determinants of Health? Implications for Family Nursing Practice, Research, Education, and Policy. Deatrick JA. (2017).Journal of Family Nursing, 23, 423-433. doi:10.1177/1074840717735287, 10.1177/1074840717735287.
    27. World Health Organization. (2021). Social determinants of health. World Health Organization. Retrieved November 30, 2021





Zipcode Resources

This resource list is intended to inform of SDOH, its impact on patients/clients, help guide the delivery of care and training provided.

Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Healthy People 2020 approach to social determinants of health include the five key areas (determinants):

  • Economic Stability
  • Education
  • Social and Community Context
  • Access to Health Care
  • Neighborhood and Built Environment


Healthy People North Carolina 2030 -



Cultural competence is defined as the ability to understand, appreciate and interact with people from cultures or belief systems different from one's own.
Health disparity is a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage.
Health equity is the absence of avoidable or remediable differences, allowing for the attainment of optimal health for all people . Health equity is achieved when everyone has the opportunity to attain their full health potential and no one is disadvantaged because of socially determined circumstances.
Health inequities are unfair health differences closely linked to social, environmental, or economic disadvantages that adversely affect specific groups of people.


This resource list is not intended to be an exhaustive list of all resources as it relates to SDOH. 
For more information about Northwest AHEC and the OCME, please visit or call 336-713-7700

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