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Another SDOH

Cardi-OH

Definition from ASAM: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Addiction as a SDH from WHO: ""Drug use is both a response to social breakdown and an important factor in worsening the resulting inequalities in health"". Alcohol and substance use are associated with lower socioeconomic status. This is in part a result of substances and alcohol used as a coping mechanism and becomes cyclical and intensified when addiction and dependence becomes the source of diminished opportunities and lesser quality of life. (World Health Organization, SDH:The Solid Facts; Second Edition, 2003)"

References:

 

Useful and beneficial health information technologies are continuing to grow rapidly. Patient portals and electronic health records are in nearly every doctors’ office in the United States. Patients can message clinicians, schedule appointments, review lab results, refill prescriptions, and monitor health changes. Recent research has clearly demonstrated a digital divide in access to these new technologies. Community and individual gaps exist in the availability of internet access, internet enabled devices and the digital skills required to take advantage of new health information technologies. Many individuals who lack digital skills or connectivity are systematically excluded from the benefits of these new advances. Research has demonstrated important health promoting benefits of patient portals, and that these benefits are systematically unavailable to persons on the wrong side of the digital divide (Sarkar et al; Perzynski et al).

References:

Perzynski AT, Roach MJ, Shick S, Callahan B, Gunzler D, Cebul R, Kaelber DC, Huml A, Thornton JD, Einstadter D. Patient portals and broadband internet inequality. Journal of the American Medical Informatics Association. 2017 Sep 1;24(5):927-32.

Sarkar U, Lyles CR, Parker MM, Allen J, Nguyen R, Moffet HH, Schillinger D, Karter AJ. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Medical care. 2014 Mar;52(3):194.

Definition from ASAM: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Addiction as a SDH from WHO: ""Drug use is both a response to social breakdown and an important factor in worsening the resulting inequalities in health"". Alcohol and substance use are associated with lower socioeconomic status. This is in part a result of substances and alcohol used as a coping mechanism and becomes cyclical and intensified when addiction and dependence becomes the source of diminished opportunities and lesser quality of life. (World Health Organization, SDH:The Solid Facts; Second Edition, 2003)"

References:

 

Definition from ASAM: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Addiction as a SDH from WHO: ""Drug use is both a response to social breakdown and an important factor in worsening the resulting inequalities in health"". Alcohol and substance use are associated with lower socioeconomic status. This is in part a result of substances and alcohol used as a coping mechanism and becomes cyclical and intensified when addiction and dependence becomes the source of diminished opportunities and lesser quality of life. (World Health Organization, SDH:The Solid Facts; Second Edition, 2003)"

References:

 

Useful and beneficial health information technologies are continuing to grow rapidly. Patient portals and electronic health records are in nearly every doctors’ office in the United States. Patients can message clinicians, schedule appointments, review lab results, refill prescriptions, and monitor health changes. Recent research has clearly demonstrated a digital divide in access to these new technologies. Community and individual gaps exist in the availability of internet access, internet enabled devices and the digital skills required to take advantage of new health information technologies. Many individuals who lack digital skills or connectivity are systematically excluded from the benefits of these new advances. Research has demonstrated important health promoting benefits of patient portals, and that these benefits are systematically unavailable to persons on the wrong side of the digital divide (Sarkar et al; Perzynski et al).

References:

Perzynski AT, Roach MJ, Shick S, Callahan B, Gunzler D, Cebul R, Kaelber DC, Huml A, Thornton JD, Einstadter D. Patient portals and broadband internet inequality. Journal of the American Medical Informatics Association. 2017 Sep 1;24(5):927-32.

Sarkar U, Lyles CR, Parker MM, Allen J, Nguyen R, Moffet HH, Schillinger D, Karter AJ. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Medical care. 2014 Mar;52(3):194.

Definition from ASAM: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Addiction as a SDH from WHO: ""Drug use is both a response to social breakdown and an important factor in worsening the resulting inequalities in health"". Alcohol and substance use are associated with lower socioeconomic status. This is in part a result of substances and alcohol used as a coping mechanism and becomes cyclical and intensified when addiction and dependence becomes the source of diminished opportunities and lesser quality of life. (World Health Organization, SDH:The Solid Facts; Second Edition, 2003)"

References:

 

Useful and beneficial health information technologies are continuing to grow rapidly. Patient portals and electronic health records are in nearly every doctors’ office in the United States. Patients can message clinicians, schedule appointments, review lab results, refill prescriptions, and monitor health changes. Recent research has clearly demonstrated a digital divide in access to these new technologies. Community and individual gaps exist in the availability of internet access, internet enabled devices and the digital skills required to take advantage of new health information technologies. Many individuals who lack digital skills or connectivity are systematically excluded from the benefits of these new advances. Research has demonstrated important health promoting benefits of patient portals, and that these benefits are systematically unavailable to persons on the wrong side of the digital divide (Sarkar et al; Perzynski et al).

References:

Perzynski AT, Roach MJ, Shick S, Callahan B, Gunzler D, Cebul R, Kaelber DC, Huml A, Thornton JD, Einstadter D. Patient portals and broadband internet inequality. Journal of the American Medical Informatics Association. 2017 Sep 1;24(5):927-32.

Sarkar U, Lyles CR, Parker MM, Allen J, Nguyen R, Moffet HH, Schillinger D, Karter AJ. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Medical care. 2014 Mar;52(3):194.

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