Index
Module 14 • Preventive Care
Supportive & Preventive Medicine
78%
Core Content
Supportive & Preventive Medicine
Megan Feeney ~2 min read Module 14 of 20
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Supportive and Preventive Medicine

C.Studies evaluating SDoH in the critically ill population are limited and often rely on claims data for their

conclusions; it is often difficult to identify the specific SDoH associated with a particular outcomes because

different SDoH are tied closely together

1

A retrospective evaluation of older adults admitted to the ICU demonstrated a greater risk for

functional and cognitive decline in patients with dual Medicare–Medicaid coverage compared with

those with Medicare with supplemental insurance, suggesting opportunities for improved allocation of

rehabilitation resources and post-ICU care (Ann Intern Med 2022;175:644-55). Other studies reinforce

this finding, indicating uninsured patients are less likely to receive common critical care procedures

(Am J Respir Crit Care Med 2011;184:809-15).
2Neighborhood socioeconomic disadvantage and lower socioeconomic status have similarly been
associated with higher disability burden after ICU discharge (Chest 2016;150:829-36; Crit Care Med
2022;50:733-41; Intensive Care Med 2018;44:2025-37)
3

Lower individual socioeconomic status has also been associated with increased health care use and

mortality (Crit Care Med 2019; 47:e512-21; J Intensive Care Med 2021;36:828-37)
4

Members of minority groups are demonstrated to experience higher mortality and disparate end of

life care (e.g., less likely to use hospice, fewer advanced directives, less comfort-directed care) (Lancet
Respir Med 2017;5:E11-2; Ann Am Thorac Soc 2016;13:2184-9)
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