ATI Social Influences

Five major social determinant of health

• Health care access and quality

• Education access and quality

• Economic stability

• Social and community context

• Neighborhood and built environment

Underinsured

Having health insurance that poses a significant financial risk when paying for health-related expenditures not covered fully by insurance.

Medicare

A government insurance program for people over the age of 65, under the age of 65 with certain disabilities, or people of all ages with end-stage renal disease.

Medicaid

A joint federal and state program that provides coverage for health services for clients with limited income and resources.

Children’s health insurance program (CHIP)

A division of Medicaid that is designed to provide children more access to health care.

Managed care health insurances

A system of health insurance companies contracting with providers and hospitals to provide care at a lower cost.

Patient portal

A website maintained by a health care practice to facilitate communication between the client and the health care provider.

Telehealth

A virtual visit with a health care provider using an electronic device.

Community health centers

A network of centers that help increase access to crucial primary care by reducing barriers such as cost, lack of insurance, distance, and language for their clients.

Cycle of poverty

Generational poverty that is difficult to break without outside intervention.

Economic stability

The ability to access resources for life, such as money, housing, food, and a job that provides a consistent living wage.

Food insecurity

Lack of consistent access to enough food for every person in a household to live an active, healthy life.

Food deserts

Areas that have low access to healthy and fresh foods, usually because of the location or income of the neighborhoods.

Food swamps

An area where there is more access to unhealthy food than there is to healthy food.

Built environment

A human-made environment that provides the setting for living, working, and playing. It also includes the supporting infrastructure such as water supply and energy networks.

Structural inequities

The personal, interpersonal, institutional, and systemic drivers that make those identities salient to the fair distribution of health opportunities and outcomes.

Social inequality

A condition of unequal access to the benefits of belonging to any society.

Blue collar workers

Manual laborers who often face challenging or difficult work conditions. Wages are often lower than white-collar workers.

White collar workers

People who perform professional, desk, managerial, or administrative work. White-collar work may be performed in an office or other administrative setting.

Occupational health nurse

A nurse who provides for and delivers health and safety programs and services to workers in industrial settings. Their focus is on promotion and restoration of health, prevention of illness and injury, and protection from work-related and environmental hazards.