GENERATIONS – Journal of the American Society on Aging

is a plan to address them. If necessary, the geria- trician can draw upon the interdisciplinary team for assistance and specialized care. In this con- tinuous cycle, all elements remain dynamic and adjust appropriately to changes in Mr. Smith’s social and medical determinants of health, the population’s needs as a whole, the available work- force, and evidence-based healthcare protocols. chronic conditions such as ADRD or designing a larger population health management model, we can effectively and efficiently incorporate infor- mation on social determinants of health into better care for all patients in the system. Under- standing how the key components function in concert with one another can allow administra- Conclusion Whether caring for people suffering from

tors and providers to fully appreciate their roles and the roles of others within the continuum of care, with the goal of improving overall popula- tion health. Malaz Boustani, M.D., M.P.H., is Richard M. Fairbanks Professor of Aging Research at Indiana University School of Medicine, in Indianapolis. Lindsey Yourman, M.D., is an assistant professor of Medicine in the division of Geriatrics and Gerontology at UC San Diego Health, in California. Richard J. Holden, Ph.D., is an associate professor of Medicine in the Division of General Internal Medicine and Geriatrics at Indiana University School of Medicine. Peter S. Pang, M.D., is an associate professor of Emergency Medicine at Indiana University School of Medicine. Craig A. Solid, Ph.D., is owner and principal of Solid Research Group, LLC, in St. Paul, Minnesota.

References Alley, D. E., et al. 2016. “Account- able Health Communities— Addressing Social Needs Through Medicare and Medicaid.” New England Journal of Medicine 374(1): 8–11. Alzheimer’s Association. 2018. “2017 Alzheimer’s Disease Facts and Figures.” blbe. Retrieved December 20, 2017.

Boustani, M., Alder, C. A., and Solid, C. A. 2018. “Agile Implemen- tation: A Blueprint for Implement- ing Evidence-based Healthcare Solutions.” Journal of the American Geriatrics Society 66(7): 1372–76. Daniel, H., Bornstein, S. S., and Kane, G. C. 2018. “Addressing Social Determinants to Improve Patient Care and Promote Health Equity: An American College of Physicians Position Paper.” Annals of Internal Medicine 168(8): 577–8.

Friedman, E. M., et al. 2015. “U.S. Prevalence And Predictors of Informal Caregiving for Demen- tia.” Health Affairs 34(10): 1637–41. Galea, S., M., et al. 2011. “Estimated Deaths Attributable to Social Fac- tors in the United States.” Ameri- can Journal of Public Health 101(8): 1456–65. Taylor, L. A., et al. 2016. “Lever- aging the Social Determinants of Health: What Works?” PLoS One 11(8): e0160217.

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