In order to improve the health of the most vulnerable groups in society, the WHO Commission on
Social Determinants of Health (CSDH) called for multi-sectoral action, which requires research and policy on the
multiple and inter-linking factors shaping health outcomes. Most conceptual tools available to researchers tend to
focus on singular and specific social determinants of health (SDH) (e.g. social capital, empowerment, social
inclusion). However, a new and innovative conceptual framework, known as social quality theory, facilitates a more
complex and complete understanding of the SDH, with its focus on four domains: social cohesion, social inclusion,
social empowerment and socioeconomic security, all within the same conceptual framework. This paper provides
both an overview of social quality theory in addition to findings from a national survey of social quality in Australia,
as a means of demonstrating the operation of the theory
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