ODPHP Director

There’s widespread agreement that health care is not the principal driver of health. Rather, the conditions in the places where people live, work, and play — what many refer to as social determinants of health — have the greatest influence on our health. Organizational health literacy — the degree to which organizations equitably enable individuals to find, understand, and use information and services to inform health-related decisions and actions for themselves and others — is one of those key social determinants.

Contemporary approaches to healthy living, with an increasing attentiveness to social determinants of health and the Vital Conditions for Health and Well-Being, hold potential — even real promise — to provide us with longer and greater-quality lives, especially through our later years. Focusing and sustaining meaningful action in support of that potential — that promise — requires a broader perspective on healthy aging and an open and inclusive conversation on the subject.

New treatments and scientific breakthroughs that lead to cures characterize modern medicine. But as exciting and beneficial as many of these innovations are, none compares to the power of prevention. In addition to getting enough physical activity, ensuring healthy eating, and maintaining mental health, a fourth essential — and often overlooked — element in any comprehensive wellness strategy is keeping up with clinical preventive services.

Social determinants of Health (SDOH) form the dynamic context for what we experience in our everyday lives. They are not abstract concepts — they are our life circumstances. These circumstances have a major impact on people’s health, well-being, quality of life, resilience, and opportunity to thrive. Yet, as defined, SDOH exist largely outside the healthcare and public health sectors. From this perspective, we need to expand the circles where conversations about improving SDOH take place: to be more inclusive so that all sectors are at the table, empowered and invested in the plan for action that will make us a healthier nation.