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Primary Care Training Enhancement

Gaps in Care Session Overview

This session discusses social determinants of health and how they relate to gaps in care of individuals, aggregates and populations. The content focuses on recognition of social determinants of health through sharing narratives. Participants will be introduced to a Social Determinants of Health Framework. 

Session Length: 70 minutes

Prerequisite(s): Knowledge of social determinants of health, medical narratives (review session:  Introduction to Case Narratives

Learning Objectives

  • Illustrate and identify social determinants of health through sharing narratives. Participants will summarize health inequities observed between groups.

  • Define health equity. Describe examples of health inequities.

  • Explain gaps in care of individuals, aggregates and populations

  • Review and discuss Social Determinants of Health Conceptual Framework for Action 

Author:  Marilyn Nibling (e:

School: Kent State University

Session Facilitator Guide - Gaps in Care

Resources for Instructors

  1. Marmount, M. (2015). The Health Gap: The Challenge of an Unequal World. Bloomsbury Press, New York, NY.




  5. What is Health Equity and Why Does it Matter? Institute for Healthcare Improvement, 2016.  A conversation between Donald Berwick MD and  David R. Williams PhD, MPH.



  8. Education Improves Public Health and Promotes Health Equity

  9. High School Graduation Rates

  10. Income and Poverty in the United States

  11. 2020 Poverty Guidelines

  12. "Teeth: The Story of Beauty, Inequality & the Struggle for Oral Health In America," A Conversation with the Author, Mary Otto (April 12th)


  14. Dani, Anis A., and Arjan De. Haan, eds. Inclusive States: Social Policy and Structural Inequalities. Washington, D.C: World Bank, 2008.