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.

Displaying 1 - 10 of 16

Student hotspotting: Teaching the interprofessional care of complex patients

P. Bedoya, K. Neuhausen, A. Dow, E.M. Brooks , D. Mautner, R.S. Etz

PROBLEM: Individuals with complex health and social needs drive much of the total cost of care. Addressing these individuals' needs and decreasing costs requires interprofessional teams, called "hotspotters," who engage with communities with high utilization.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Qualitative

Innovative home visit models associated with reductions in costs, hospitalizations, and emergency department use

S. Ruiz, L.P. Snyder, C. Rotondo, C. Cross-Barnet, E.M. Colligan, K. Giuriceo

While studies of home-based care delivered by teams led by primary care providers have shown cost savings, little is known about outcomes when practice-extender teams-that is, teams led by registered nurses or lay health workers-provide home visits with similar components (for example, care...

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Other Experimental Design

Integrating social services and home-based primary care for high-risk patients

J. Feinglass, G. Norman, R.L. Golden, N. Muramatsu, M. Gelder, T. Cornwell

There is a consensus that our current hospital-intensive approach to care is deeply flawed. This review article describes the research evidence for developing a better system of care for high-cost, high-risk patients.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Review

Poverty and child health in the United States

American Academy of Pediatrics Council on Community Pediatrics

Almost half of young children in the United States live in poverty or near poverty. The American Academy of Pediatrics is committed to reducing and ultimately eliminating child poverty in the United States.

Publication Year:

2016

Resource Type:

Journal Article

Study Design:

Review

Case study: Johns Hopkins Community Health Partnership: A model for transformation

S.A. Berkowitz, P. Brown, D.J. Brotman, A. Deutschendorf, L. Dunbar, A. Everett, D. Hickman, E. Howell, L. Purnell, C. Sylvester, R. Zollinger, M. Bellantoni, S.C. Durso, C. Lyketsos, P. Rothman, J-CHiP Program

To address the challenging health care needs of the population served by an urban academic medical center, we developed the Johns Hopkins Community Health Partnership (J-CHiP), a novel care coordination program that provides services in homes, community clinics, acute care hospitals, emergency...

Publication Year:

2016

Resource Type:

Journal Article

Study Design:

Case Study

Addressing social determinants of health and health inequalities

N.E. Adler, M.M. Glymour, J. Fielding

This Viewpoint on addressing social determinants of health and health inequalities provides a summary of a discussion paper developed as part of the National Academy of Medicine’s initiative on Vital Directions for Health & Health Care.

Publication Year:

2016

Resource Type:

Commentary

Determinants of health and pediatric primary care practices

A.F. Beck, M.M. Tschudy, T.R. Coker, K.B. Mistry, J.E. Cox, B.A. Gitterman, L.J. Chamberlain, A.M. Grace, M.K. Hole, P.E. Klass, K.S. Lobach, C.T. Ma, D. Navsaria, K.D. Northrip, M.D. Sadof, A.N. Shah, A.H. Fierman

More than 20% of children nationally live in poverty. Pediatric primary care practices are critical points-of-contact for these patients and their families.

Publication Year:

2016

Resource Type:

Journal Article

Study Design:

Review

Community asthma initiative to improve health outcomes and reduce disparities among children with asthma

E.R. Woods, U. Bhaumik, S.J. Sommer, E. Chan, L. Tsopelas, E.W. Fleegler, M. Lorenzi, E.M. Klements, D.U. Dickerson, S. Nethersole, R. Dulin

Black and Hispanic children are hospitalized with complications of asthma at much higher rates than white children.

Publication Year:

2016

Resource Type:

Issue Brief/Report

Study Design:

Case Study, Other Experimental Design

Community Health Worker home visits for Medicaid-enrolled children with asthma: Effects on asthma outcomes and costs

J.D. Campbell, M. Brooks, P. Hosokawa, J. Robinson, L. Song, J. Krieger

OBJECTIVES: We sought to estimate the return on investment of a streamlined version of an evidence-based community health worker (CHW) asthma home visit program.

Publication Year:

2015

Resource Type:

Journal Article

Study Design:

Other Experimental Design

Improved birth weight for Black infants: Outcomes of a Healthy Start program

C.L. Kothari, R. Zielinski, A. James, R.M. Charoth, C. Sweezy Ldel

OBJECTIVES: We determined whether participation in Healthy Babies Healthy Start (HBHS), a maternal health program emphasizing racial equity and delivering services through case management home visitation, was associated with improved birth outcomes for Black women relative to White women.

Publication Year:

2014

Resource Type:

Journal Article

Study Design:

Observational