There is also a great need for training of policy-makers, health workers and workers in other sectors to understand the need for and how to act on the social determinants of health.

还迫切需要对决策者、卫生人员以及其他部门人员进行培训，使其认识到针对健康问题社会决定因素采取行动的必要性并了解具体做法。

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This marginalized situation interacts with other known health determinants, such as income inequality, lifestyle habits, family situation and age.

这种边缘化的状态与人们熟知的其他决定健康的因素，如收入不平等、生活习惯、家庭状况及年龄等相互影响。

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However, startups are appearing that provide tools to inform and streamline such decision-making processes, such as Noodle.org, which helps people plot out their education path, factoring in money, interests and numerous other determinants.

FORBES: Private Technology Will Fix Education Where Tapped Out Governments Cannot

Now, as a Narrative Health Care Ethicist, I hold myself morally accountable for being the collective voice for those who are often silent or quiet because of social determinants or other roadblocks that prevent equal footing for patients.

FORBES: CarePlanners �C Alan Blaustein and Nancy Snyderman, MD

All these indicators show at best a stagnation of the position of France while other countries are progressing and that higher education and research are regarded as determinants of growth and competitiveness.

UNESCO: Education