Table 1:

Overcoming barriers to adopting a social determinants of health approach in clinical practice

BarrierFacilitator
Medical model bias and the treatment imperative in health careHealth care provider reminder and recall systems to adopt a more holistic and biopsychosocial approach
Patients who experienced prior stereotyping and discrimination in clinical careTreating patients with dignity and respect and creating “safe spaces” for disclosure
Physicians feeling overwhelmed, overworked and lacking timeTaking a few extra minutes per consultation to address complex health and social needs
Physicians not knowing what resources exist in the local communityProviding a mapping of benefits and local referral resources for specific social challenges
Physicians unsure of what concrete actions to take to address social determinantsResources, training and ongoing support of physicians and allied health care workers