The United States currently provides a health care system that is
neither efficient nor equitable. Despite outspending the world on
health care, over three-fourths of developed countries produce
better health outcomes. In response to these challenges the
"Ecological School of Thought" has documented the impact that
social, economic, and environmental circumstances play in health
outcomes. This work utilized Structural Equation Modeling to assess
the antecedents of sentinel health events in 309 United States
counties. The adversity associated with socio-economic
disadvantage, social disorganization, and a lack of health care
resources, and their relationship with adverse health outcomes are
explicated with clear policy implications. Support is provided for
the notion that sentinel health events would be reduced through
economic equity and the development of healthy environments where
community social networks are promoted. Less support was found for
saturating given geographical areas with health care resources in
order to reduce sentinel health events. This study has relevancy
for both the criminal justice and public health fields of study.
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