I don’t know if the term “socio-medical” even exists.
But it felt like every single pathology I dealt with today was a social problem.
Ulcer, exercerbated by no medications (damn pre-authorization!), and no food. In an unstable housing situation, with limited transportation. And serious medical issues taken lightly by a local hospital. My diagnoses: Unstable food, housing, transportation, respect.
Renal failure, hospitalization never followed up because they had no way to get to clinic. Ongoing exhaustion and decreased appetite ignored. Here for follow up labs. My diagnosis: lack of medical transportation, no clear communication of medical supports.
Gastroenteritis (was this even the diagnosis?), unable to access hospital records. What happened? Dunno. What tests done? Dunno. What medical diagnosis? Dunno. My diagnosis: no communication between EMRs.
When social issues turn into medical issues. Socio-medical.
Bio-psycho-social means the biology and the psychology and the social world are all intertwined.
But by socio-medical, I want to say: social IS medical.
I want “no housing” as a diagnosis. “No food” as a diagnosis. “No respect from the medical establishment” as a diagnosis.”No EMR interconnectivity” as a diagnosis
If we pathologize social conditions, and recognize social conditions as medical problems, then can we convince our medical system to pay to improve social conditions?
If medical insurance were to pay for housing, or food, or EMR interoperability, how much would insurance companies save on hospital bills?