Evidence Library

This Evidence Library contains research articles, issue briefs, reports, and commentaries that either focus on or are relevant to evaluating health care-based interventions that address patients’ social and economic needs. We prioritize for inclusion resources that carefully describe and evaluate the social needs components of these interventions, and to a lesser extent those where the social components are mentioned but are not the primary focus of the work. The library currently includes only papers published since the year 2000. If you are aware of a resource you think should be added to our Evidence Library, please let us know.

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Displaying 1 - 10 of 48

A real-world community health worker care coordination model for high-risk children

M.A. Martin, K. Perry-Bell, M. Minier, A.E. Glassgow, B.W. Van Voorhees
Health Promot Pract

Health care systems across the United States are considering community health worker (CHW) services for high-risk patients, despite limited data on how to build and sustain effective CHW programs.

Publication Year:

2019

Resource Type:

Journal Article

Study Design:

Case Study

Association of a care coordination model with health care costs and utilization

S.A. Berkowitz, S. Parashuram, K. Rowan, et al.
JAMA Netw Open

Importance: The Johns Hopkins Community Health Partnership was created to improve care coordination across the continuum in East Baltimore, Maryland.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Other Experimental Design

How to pay for it: Financing community health workers in transitions clinics

L. Hogan, T. Macdonald Mendez
California Health Care Foundation

The Transitions Clinic model is an evidence-based program designed to serve people with chronic diseases who have recently been released from incarceration.

Publication Year:

2018

Resource Type:

Issue Brief/Report

Study Design:

Review

How to pay for it: Financing community health workers in Transitions Clinics

L. Hogan, T. Macdonald Mendez
California Health Care Foundation

The Transitions Clinic model is an evidence-based program designed to serve people with chronic diseases who have recently been released from incarceration.

Publication Year:

2018

Resource Type:

Issue Brief/Report

Study Design:

Case Study

Effect of community health worker support on clinical outcomes of low-income patients across primary care facilities A randomized clinical trial

S. Kangovi, N. Mitra, L. Norton, R. Harte, X. Zhao, T. Carter, D. Grande, J.A. Long
JAMA Intern Med

Importance: Addressing the social determinants of health has been difficult for health systems to operationalize.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Randomized Controlled Trial (RCT)

Community health workers as an extension of care coordination in primary care: A community-based cosupervisory model

J.M. Gunderson, M.L. Wieland, O. Quirindongo-Cedeno, G.B.. Asiedu, J.L. Ridgeway, M.W. O'Brien, T.M. Nelson, R. Buzard, C. Campbell, J.W. Njeru
J Ambul Care Manage

Community health workers (CHWs) bring their unique capacity as liaisons for patients, communities, and health care systems to health care teams. We describe the collaborative development of a community-based CHW program to address the social determinants of health that affect patients.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Case Study, Observational

Integrating community health workers into state and local chronic disease prevention efforts: Program and financing considerations

A. Spencer
AcademyHealth & Nemours Children’s Health Systems

As states, localities and cross-sector efforts like Accountable Communities of Health (ACHs) develop upstream prevention programs, identifying where community health workers (CHWs) can be most effective – with what population, condition and intervention – will help to inform intervention design...

Publication Year:

2018

Resource Type:

Issue Brief/Report

A community health worker-led rotation to train medical students in the social determinants of health

S. Kangovi, T. Carter, R.A. Smith, H.M. DeLisser
J Health Care Poor Underserved

Medical students often lack training in understanding and addressing the social determinants that shape the health of high-risk populations.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Case Study

Roles and functions of community health workers in primary care

A.L. Hartzler, L. Tuzzio, C. Hsu, E.H. Wagner
Ann Fam Med

Community health workers have potential to enhance primary care access and quality, but remain underutilized. To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Review

Going beyond clinical care to reduce health care spending: Findings from the J-CHIP community-based population health management program evaluation

S.M.E. Murphy, D.E. Hough, M.L. Sylvia, M. Sherry, L.J. Dunbar, R. Zollinger, R. Richardson, S.A. Berkowitz, K.D. Frick
Med Care

Background: Addressing both clinical and nonclinical determinants of health is essential for improving population health outcomes.

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Other Experimental Design