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Dr. Doogie Howser is your personal family doctor; The Mayo Clinic is your hospital; and those $2 million dollar-priced gene therapy drugs you get free at no cost to you. There is one problem: you are homeless and live under a bridge. You and the hospital bed, emergency room, will become a revolving door. Welcome to Social Determinants of Healthcare (SDOH). “It’s Your Zipcode, not Your Genetic Code.”
SDOH accounts for approximately 2/3 of the quality of one’s health status; the other third is accounted for by clinical and scientific expertise and medicine. So it behoves our healthcare sources to pursue those factors that account for the majority of healthcare quality. As healthcare spend nears 20 percent of Gross Domestic Product (currently $5 trillion a year), this cannot be sustained.
Dr. Bill Trombetta is a Professor of Healthcare Strategy & Marketing at the Faculty of the Erivan K. Haub School of Business, St. Joseph’s University, Phila. PA. He received his Ph.D. from Ohio State University. He is also an attorney licensed in NY and NJ specializing in healthcare regulatory and antitrust law. Bill served as a Deputy Attorney General in The State of New Jersey, Dept. of Law & Public Safety, Div. of Criminal Justice, Antitrust Section. He has been invited to be a faculty member, adjunct, at Philadelphia College of Osteopathic Medicine (PCOM). He has been writing the annual Pharmaceutical Executive Pharmaceutical Industry Audit for 18 years (see Pharmaceutical Executive September 2018). Bill is an internationally recognized speaker who has presented to pharmaceutical firms and medical device professionals. In 2016, he was selected as one of the Top 100 Most Influential Professionals in Life Sciences for Pharma Voice September. Bill is also certified as a “Neutral” in the American Health Lawyers Assoc Alternative Dispute Resolution / Mediation Service and is also certified as an Arbitrator with AHLA Neutrals.
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