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	<title>Comments on: Thinking Big: Can Ix Cure More than Health Care?</title>
	<link>http://ixcenterblog.org/archives/635</link>
	<description>Engaging consumers with information therapy (Ix) and HIT</description>
	<pubDate>Sat, 13 Mar 2010 12:16:41 +0000</pubDate>
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		<title>By: ICMCC Newspage &#187; Blog Archive &#187; Thinking Big: Can Ix Cure More than Health Care?</title>
		<link>http://ixcenterblog.org/archives/635#comment-13497</link>
		<dc:creator>ICMCC Newspage &#187; Blog Archive &#187; Thinking Big: Can Ix Cure More than Health Care?</dc:creator>
		<pubDate>Tue, 25 Nov 2008 19:54:47 +0000</pubDate>
		<guid>http://ixcenterblog.org/archives/635#comment-13497</guid>
		<description>[...] IAF’s Disparity Reducing Advances project, in which I have been involved for a few years.&#8221; Article Josh Seidman, PCHIT Blog, 25 November [...]</description>
		<content:encoded><![CDATA[<p>[&#8230;] IAF’s Disparity Reducing Advances project, in which I have been involved for a few years.&#8221; Article Josh Seidman, PCHIT Blog, 25 November [&#8230;]</p>
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		<title>By: Josh Seidman</title>
		<link>http://ixcenterblog.org/archives/635#comment-13486</link>
		<dc:creator>Josh Seidman</dc:creator>
		<pubDate>Tue, 25 Nov 2008 17:55:33 +0000</pubDate>
		<guid>http://ixcenterblog.org/archives/635#comment-13486</guid>
		<description>Clem,
You make some good points.  One thing that I think is worth pointing out in the McGinnis &#038; Clancy data.  I don't have it handy, but I believe that one of the other categories is "health behaviors."  Certainly, one of the main objectives and outcomes of Ix is influencing health behaviors, so Ix already is tackling more than that 10-25% figure.

That said, there are still many social determinants that need to be addressed to deal with underlying health issues.</description>
		<content:encoded><![CDATA[<p>Clem,<br />
You make some good points.  One thing that I think is worth pointing out in the McGinnis &#038; Clancy data.  I don&#8217;t have it handy, but I believe that one of the other categories is &#8220;health behaviors.&#8221;  Certainly, one of the main objectives and outcomes of Ix is influencing health behaviors, so Ix already is tackling more than that 10-25% figure.</p>
<p>That said, there are still many social determinants that need to be addressed to deal with underlying health issues.</p>
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		<title>By: Clem Bezold</title>
		<link>http://ixcenterblog.org/archives/635#comment-13477</link>
		<dc:creator>Clem Bezold</dc:creator>
		<pubDate>Tue, 25 Nov 2008 16:13:27 +0000</pubDate>
		<guid>http://ixcenterblog.org/archives/635#comment-13477</guid>
		<description>Hi Josh,

Thanks for the description of yesterday's DRA Project Disparities Foresight Briefing on the Hill - we'll have the slides and a summary up on our website shortly.

 you are asking an important question - what is the role of IX in dealing with the social determinants of health? As you note health care alone will not eliminate health disparities.  Health care is responsible for between 10% (McGinnis) and 25% (Clancy et. al) of the variance in health conditions.   Overall the role of disparities and of the social determinants (e.g., housing, jobs, food, neighborhood safety, racism, and education) are not the central focus of health care.   But when a health care provider gives a patient a prescription for nutrition or activity, that provider should be aware of the conditions in the patient's environment that would reinforce or hinder compliance with the prescription.  And as many community health centers and other providers have shown, they can cost effectively leverage those social determinants in support of the patient.  THE DRA Project has 3 reports related to this at www.altfutures.com/draproject and we are both following the larger movement toward Health Equity and the question of the role of health providers leveraging the social determinants.

Its important to consider the role of Ix in supporting this.
    Clem</description>
		<content:encoded><![CDATA[<p>Hi Josh,</p>
<p>Thanks for the description of yesterday&#8217;s DRA Project Disparities Foresight Briefing on the Hill - we&#8217;ll have the slides and a summary up on our website shortly.</p>
<p> you are asking an important question - what is the role of IX in dealing with the social determinants of health? As you note health care alone will not eliminate health disparities.  Health care is responsible for between 10% (McGinnis) and 25% (Clancy et. al) of the variance in health conditions.   Overall the role of disparities and of the social determinants (e.g., housing, jobs, food, neighborhood safety, racism, and education) are not the central focus of health care.   But when a health care provider gives a patient a prescription for nutrition or activity, that provider should be aware of the conditions in the patient&#8217;s environment that would reinforce or hinder compliance with the prescription.  And as many community health centers and other providers have shown, they can cost effectively leverage those social determinants in support of the patient.  THE DRA Project has 3 reports related to this at <a href="http://www.altfutures.com/draproject" rel="nofollow">http://www.altfutures.com/draproject</a> and we are both following the larger movement toward Health Equity and the question of the role of health providers leveraging the social determinants.</p>
<p>Its important to consider the role of Ix in supporting this.<br />
    Clem</p>
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