SVMC Community Health Needs Assessment 2021 - Catalog - Page 24
23 | P a g e
access health care. These pillars, the social determinants of health, influence the ability to consistently
perform the healthy behaviors that ultimately lead to better health outcomes.
Together, these two frameworks create a foundation for the rest of this report, which investigates parts
of each domain relative to SVMC’s service area. Disparities or inequities in access to care or health
outcomes are highlighted throughout, as are samples of open responses shared by respondents to
SVMC’s community health survey.
Health Outcomes
Mortality, Morbidity, Health Care Expenditures
Health Behaviors (influenced by mental health & resilience):
Tobacco use, Exercise, Stress Management, Medication Adherence, Sleep
Physical
Environment
Social
Environment
Housing
Transportation
Education
Nutrition
Health Care
Language &
Literacy
Access to Food
Support Systems
Provider
Availability
Safety
Community
Engagement
Early Childhood
Education
Walkability
Discrimination
Parks
Diversity
Vocational
Training
Playgrounds
Culture
Higher Education
Availability of
Food
Quality of Care
Affordability of
Food
Insurance
Coverage
Nutrition
knowledge &
understanding
Provider Cultural
Competency
Personal Financial Standing:
Employment Status, Income, Expenses, Debt
Economic Environment:
Employment Opportunities, Generational Poverty, Cost of Living, Fiscal Policy, Social Support Programs
Southwestern Vermont Medical Center
Community Health Needs Assessment 2021