15 Questions

Social Determinants of Health Questions to Ask Patients

Comprehensive questions to assess social determinants of health in patients, helping healthcare providers understand the social, economic, and environmental factors that impact health outcomes and care planning.

1

What is your current living situation, and do you feel safe and stable in your home?

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Why this works

Housing stability and safety are fundamental social determinants that directly impact health outcomes and access to care.

2

Do you have reliable access to nutritious food, and are there times when you worry about having enough to eat?

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Why this works

Food security is a critical determinant of health that affects nutrition, chronic disease management, and overall wellbeing.

3

What is your current employment status, and do you have health insurance through your job?

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Why this works

Employment and insurance status directly impact access to healthcare services and ability to afford medications and treatments.

4

How do you typically get to medical appointments, and do you have reliable transportation?

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Why this works

Transportation barriers can prevent patients from accessing care, leading to missed appointments and delayed treatment.

5

Do you have a support system of family or friends who can help you with your health needs?

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Why this works

Social support is crucial for health outcomes, medication adherence, and recovery from illness or procedures.

6

What is your highest level of education, and do you feel confident understanding health information?

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Why this works

Health literacy affects patients' ability to understand diagnoses, follow treatment plans, and make informed health decisions.

7

Do you have any concerns about your ability to afford your medications or medical treatments?

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Why this works

Financial barriers can prevent patients from adhering to treatment plans and accessing necessary healthcare services.

8

What is your primary language, and do you feel comfortable communicating with healthcare providers?

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Why this works

Language barriers can impact health outcomes and patient satisfaction, requiring appropriate interpreter services.

9

Do you have any concerns about your neighborhood or community that might affect your health?

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Why this works

Community safety, access to healthy foods, and environmental factors significantly impact health outcomes.

10

Have you experienced any recent major life changes, stress, or trauma that might be affecting your health?

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Why this works

Stress and trauma can significantly impact physical and mental health, affecting treatment outcomes and recovery.

11

Do you have access to technology like a phone or computer for telehealth appointments?

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Why this works

Digital access is increasingly important for healthcare delivery and can affect patients' ability to receive care.

12

What are your main sources of stress, and how do you typically cope with them?

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Why this works

Understanding stress sources and coping mechanisms helps providers address mental health and its impact on physical health.

13

Do you have any concerns about discrimination or bias in healthcare settings?

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Why this works

Experiences of discrimination can affect trust in healthcare providers and willingness to seek care.

14

What are your main priorities and goals for your health and wellbeing?

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Why this works

Understanding patient priorities helps providers tailor care plans to what matters most to the patient.

15

Is there anything else about your life circumstances that you think might be affecting your health?

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Why this works

This open-ended question allows patients to share additional concerns that might not be covered by specific questions.

Assessing Social Determinants of Health

Expert tips and techniques for getting the most out of these questions.

Effective Patient Assessment

Create a Safe Environment

Ensure patients feel comfortable sharing personal information by creating a non-judgmental, supportive atmosphere.

Use Open-Ended Questions

Allow patients to share their experiences in their own words rather than leading them to specific answers.

Follow Up Appropriately

When patients identify barriers, work with them to develop practical solutions and connect them with appropriate resources.

Key Assessment Areas

Housing stability and safety
Food security and nutrition
Employment and insurance status
Transportation and access to care
Social support systems
Health literacy and education
Financial barriers to care
Language and communication
Community and environmental factors
Stress and trauma experiences
Digital access and technology
Discrimination and bias experiences
Patient priorities and goals
Additional life circumstances

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