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The United States currently provides a health care
system that is neither efficient nor equitable.
Despite outspending the world on health care, over
three-fourths of developed countries produce better
health outcomes. In response to these challenges
the Ecological School of Thought has documented
the impact that social, economic, and environmental
circumstances play in health outcomes.
This work utilized Structural Equation Modeling to
assess the antecedents of sentinel health events in
309 United States counties. The adversity
associated with socio-economic disadvantage, social
disorganization, and a lack of health care
resources, and their relationship with adverse
health outcomes are explicated with clear policy
implications.
Support is provided for the notion that sentinel
health events would be reduced through economic
equity and the development of healthy environments
where community social networks are promoted. Less
support was found for saturating given geographical
areas with health care resources in order to reduce
sentinel health events. This study has relevancy for
both the criminal justice and public health fields
of study.
system that is neither efficient nor equitable.
Despite outspending the world on health care, over
three-fourths of developed countries produce better
health outcomes. In response to these challenges
the Ecological School of Thought has documented
the impact that social, economic, and environmental
circumstances play in health outcomes.
This work utilized Structural Equation Modeling to
assess the antecedents of sentinel health events in
309 United States counties. The adversity
associated with socio-economic disadvantage, social
disorganization, and a lack of health care
resources, and their relationship with adverse
health outcomes are explicated with clear policy
implications.
Support is provided for the notion that sentinel
health events would be reduced through economic
equity and the development of healthy environments
where community social networks are promoted. Less
support was found for saturating given geographical
areas with health care resources in order to reduce
sentinel health events. This study has relevancy for
both the criminal justice and public health fields
of study.