Date of Award

Fall 2022

Project Type

Clinical Doctorate

College or School




Program or Major

Doctorate in Nursing

Degree Name


First Advisor

Dayle Sharp


Social determinants of health (SDoH) are defined as factors, including things such as food security, housing, literacy, finances, and work and school environments, that affect health risks and outcomes (About Social, 2021). Healthcare disparities are often affected by one’s social determinants. National data shows low-income populations present with considerable unmet needs, including food, housing, clothing, and quality health care. Closing the health disparities gap has long been the focus of healthcare organizations across the board. The care coordination model (CCM) enables organizations to improve care through collaboration. CCM looks at care coordination from the perspective of a patient-centered medical home. One aspect of the model is providing patient support through education, helping patients with barriers to care, and difficulties they may encounter. Communities and healthcare organizations can improve healthcare disparities caused by SDoH, improving patient outcomes and their quality of life through the use of the CCM. Effectively educating patients on recognizing how SDoH affect their health and by providing resources to mediate their SDoH can empower patients to manage their health care and outcomes.