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Social Determinants of Health: Resource Overview

The American College of Obstetricians and Gynecologists has identified additional resources on topics that may be helpful for ob-gyns, other health care providers, and patients related to social determinants of health.

These resources are for information only and are not meant to be comprehensive. Referral to these resources does not imply the American College of Obstetricians and Gynecologists’ endorsement of the organization, the organization’s website, or the content of the resource. The resources may change without notice.

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Resources for Ob-Gyns and Women’s Health Care Providers
External Resources

Resources for Ob-Gyns and Women’s Health Care Providers

Committee Opinion: Importance of Social Determinants of Health and Cultural Sensitivity in the Delivery of Reproductive Health Care
This Committee Opinion, issued by ACOG in January 2018, discusses the social, structural, economic, political, and environmental factors that contribute to differential access to health care and to inequities in health outcomes, processes understood as social determinants of health. 

Cultural Awareness and Sensitivity Video Training Series and Slide Set 
This video training series and slide set, issued by ACOG in 2013, contains scenarios showing a range of clinical encounters where cultural awareness and sensitivity come into play. The slide set with accompanying videos is designed for facilitators, and contains additional information and tools that may be used to discuss these issues with office staff, labor and delivery staff, residents, medical students, and other health care providers.

Statement of Policy on Racial Bias
This Statement of Policy, issued by the ACOG Executive Board in February 2017, acknowledges the many ways that implicit and explicit racial bias affect the lives of patients and health care providers. 

Committee Opinion: Racial and Ethnic Disparities in Obstetrics and Gynecology 
This Committee Opinion, issued by ACOG in December 2015, discusses factors at the patient, practitioner, and health care system levels that contribute to existing and evolving racial and ethnic disparities in women’s health outcomes. 

Committee Opinion: Effective Patient–Physician Communication 
This Committee Opinion, issued by ACOG in February 2014 (reaffirmed 2016), discusses how the use of patient-centered interviewing, caring communication skills, and shared decision making improves patient–physician communication. 

Committee Opinion: Health Care for Transgender Individuals 
This Committee Opinion, issued by ACOG in December 2011, encourages improvements in awareness, knowledge, and sensitivity regarding health care for transgender individuals, and the responsibility of the obstetrician-gynecologist and other health care providers in being prepared to provide or assist in the care of these patients. 

Committee Opinion: Health Care for Unauthorized Immigrants
This Committee Opinion, issued by ACOG in March 2015, discusses the importance of providing access to quality health care for unauthorized immigrants and their children. 

Committee Opinion: Care for Transgender Adolescents
This Committee Opinion, issued by ACOG in January 2017, provides recommendations for how to care, counsel, and treat transgender adolescents, and encourages providers to recognize the social and mental health risks for the transgender population. 


External Resources

Health Leads
Health Leads works to design and implement social needs interventions in clinical settings that connect patients to the resources they need to be healthy. The Social Needs Screening Toolkit was developed to help physicians and organizations understand social needs domains, and includes sample screening tools, best practices for screening, and a questions library with examples of patient-centered questions for each social needs domain, for a range of literacy levels. 

National Center for Medical-Legal Partnerships
The National Center for Medical-Legal Partnerships works to create conditions in which all health organizations can leverage legal expertise and services to better address communities’ health-related social needs. The Medical-Legal Partnership toolkit is designed to guide health care and legal institutions and practitioners through the process of coordinated care and developing an MLP. The Partnerships page contains state-by-state information on organizations  currently engaged in MLP activities.

Council on Patient Safety in Women’s Health Care
The Council on Patient Safety in Women’s Health Care outlines how to implement the “4 R” domains: Readiness, Recognition, Response, and Reporting, to reduce racial and ethnic disparities in health care in their Reduction of Peripartum Racial/Ethnic Disparities Bundle

Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention (CDC) Social Determinants of Health website provides CDC resources for social determinants of health data, tools for action, programs, and policy. These resources are intended for those working in public health, community organizations, and health care systems to assess social determinants of health and improve community well-being.

World Health Organization (WHO)
The World Health Organization (WHO) report, Social Determinants of Sexual and Reproductive Health, provides evidence that factors beyond the control of the individual influence sexual and reproductive health. The report identifies programmatic approaches to addressing social determinants of health, including issues of availability, acceptability, and accessibility, which aim to increase access to and use of sexual and reproductive health services. 

Department of Health and Human Services
The Department of Health and Human Services has compiled resources for effective communication between physicians and patients with limited English proficiency. Included in this list are technical assistance, forms, guidance, and educational materials and resources to assist Medicare Providers and Provider Applicants. This list also contains Centers for Medicare and Medicaid Services policy guidance on Medicaid for LEP persons. 

 

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998