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Â© Zoltan Balogh. The social determinants of health (SDH) are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems.
Separating out the different directions of causality is an important and difficult research challenge. Health outcomes, however defined and measured, are produced by determinants or factors. They often are sorted into the five categories presented on the right in the following model.Health care determinants generally include access, cost, quantity, and quality of health care services.ealth care determinants generally include access, cost, quantity, and quality of health care services.