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- Published online April 1, 2010.
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© 2010 Royal College of Physicians
Author Information
- Kiran CR Patel, Consultant cardiologist and honorary senior lecturer in cardiovascular medicine⇓,
- Peter Spilsbury, Director of strategy and regulation and
- Rashmi Shukla, Regional director of public health
- Sandwell and West Birmingham NHS Trust and University of Birmingham; clinical lead for Staying Healthy, NHS West Midlands Strategic Health Authority; chair of trustees, South Asian Health Foundation; trustee, National Heart Forum
- NHS West Midlands
- NHS West Midlands/Department of Health West Midlands
- Address for correspondence: Dr KCR Patel, Sandwell Hospital, Lyndon, West Bromwich, West Midlands B71 4HJ. Email: Kiran.Patel{at}swbh.nhs.uk
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- Article
- Abstract
- Introduction
- Determinants of health outcomes
- Challenges to the clinician
- The evidence base and drivers for tackling social determinants
- Strategic challenge
- Addressing social determinants in acute care
- Improving communication across clinical pathways
- Improving access to healthcare
- Influencing service development and strategy
- Clinical influence at a regional level
- Clinical influence at a national level
- Clinical influence at global level
- Clinician as sociologist
- Summary
- Conflicts of interest
- Footnotes
- References
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