How do social determinants of health influence case management?

Prepare for the HCQM Case Management Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Social determinants of health, including factors such as socio-economic status, education, neighborhood and physical environment, employment, and social support networks, play a significant role in influencing health outcomes and access to care.

By impacting patients' access to care and adherence to treatment plans, these determinants affect how individuals engage with the healthcare system. For instance, individuals from lower socio-economic backgrounds may face barriers such as transportation issues, lack of health insurance, or limited access to healthy foods, which can hinder their ability to attend medical appointments or follow prescribed treatment regimens. Furthermore, social support systems can either facilitate or impede a patient’s adherence; a strong support system may encourage regular healthcare usage and adherence to treatment, while a lack of support can lead to challenges in managing health conditions effectively.

In the context of case management, understanding these social determinants is crucial. Case managers must assess these factors to create comprehensive and effective care plans. They can help identify barriers to care that patients may face and work to address them, facilitating better health outcomes. This aligns with the broader role of case management in coordinating care that takes into consideration the multiple facets of a patient's life, making option B a clear reflection of the substantial influence social determinants have in the case management process.

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