The World Health Organization defines social determinants of health as the conditions in which people are born

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The World Health Organization defines social determinants of health as the conditions in which people are born, grow, live, work, and age. Social determinants of health influence the health of a community, and in turn they also influence what is needed from healthcare organizations.

Discuss how economic, environmental, social, and demographic factors contribute to the evolution of healthcare organizations located within communities that have vulnerable populations.
How are nurses and nurse leaders uniquely positioned to foster positive relationships between healthcare systems and local communities?
Consider a healthcare organization within which you currently work or have previously worked. Did that organization develop community partnerships that addressed the needs based on social determinants of health? If so, what were they? If not, what partnerships would you recommend?
Healthcare organizations provide illness-based services and/or wellness services, and economic, environmental, social and demographic factors influence that care (Yoder-Wise & Sportsman, 2023). These factors have stimulated the development of the Institute for Healthcare Improvement’s Quintuple Aim. This is an organization that seeks to improve patient care, improve the population’s health, reduce the per capita cost of care and improve health equity.
Nurses and nurse leaders are in uniquely positioned to foster relationships between healthcare systems and local communities because they practice in many different types of healthcare settings and take a much more active and independent role in providing care to patients then in the past (Yoder-Wise & Sportsman, 2023).
HCA foundation invested over $13 million through grants to over 247 agencies and nonprofit foundations (HCA Healthcare Today, 2025). Additionally, HCA gives to the Healthier Tomorrow Fund, which aims to help create career pathways for underserved high school students throughout Florida.

Sample Solution

The social determinants of health (SDOH) are foundational to understanding the health of a community and, consequently, the evolving demands placed upon healthcare organizations. These organizations, especially those serving vulnerable populations, are profoundly shaped by the economic, environmental, social, and demographic realities of their communities.

 

Contribution of Economic, Environmental, Social, and Demographic Factors to the Evolution of Healthcare Organizations in Vulnerable Communities

 

Healthcare organizations in communities with vulnerable populations must continuously evolve to address the complex interplay of these factors:

  1. Economic Factors:
    • Influence: Poverty, unemployment, low income, lack of health insurance, and unstable housing are pervasive issues in vulnerable communities. These economic realities directly affect individuals’ ability to access care, afford medications, and maintain healthy lifestyles (e.g., purchasing nutritious food).
    • Evolution of Healthcare Organizations: Healthcare organizations evolve by shifting towards more accessible and affordable care models. This includes developing sliding-scale payment systems, offering free or low-cost clinics, and establishing mobile health units to reach underserved areas. There’s an increased emphasis on financial

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