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 32

How 6 organizations developed tools and processes for social determinants of health screening in primary care: An overview

K. LaForge, R. Gold, E. Cottrell, A.E. Bunce, M. Proser, C. Hollombe, K. Dambrun, D.J. Cohen, K.D. Clark

Little is known about how health care organizations are developing tools for identifying/addressing patients' social determinants of health (SDH).

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Case Study

Coordinated whole-person care that addresses social determinants of health: DASH communities generate lessons learned about the required data infrastructure and systems

Data Across Sectors for Health

To achieve better health outcomes at a lower cost, clinical and social service providers increasingly need access to information reflecting the social determinants of health—such as employment, housing, and education—as they have a profound impact on health.

Publication Year:

2017

Resource Type:

Issue Brief/Report

Community health worker impact on chronic disease outcomes within primary care examined using electronic health records

M. Ingram, K. Doubleday, M.L. Bell, A. Lohr, L. Murrieta, M. Velasco, J. Blackburn, S. Sabo, J. Guernsey de Zapien, S.C. Carvajal

Objectives: To investigate community health worker (CHW) effects on chronic disease outcomes using electronic health records (EHRs).

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Observational

Developing electronic health record (EHR) strategies related to health center patients' social determinants of health

R. Gold, E. Cottrell, A. Bunce, M. Middendorf, C. Hollombe, S. Cowburn, P. Mahr, G. Melgar

Background: “Social determinants of heath” (SDHs) are nonclinical factors that profoundly affect health.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Case Study

A social needs assessment tool for an urban latino population

B.A. Careyva, R. Hamadani, T. Friel, C.A. Coyne

Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Qualitative

Leveraging technology to find solutions to patients’ unmet social needs

S. Klein, M. Hostetter

Just as Yelp enables people to find and rate restaurants willing to deliver Chinese food at 2 a.m., several technology vendors are helping health care providers and their patients find local resources such as food banks and housing agencies and evaluate their effectiveness.

Publication Year:

2017

Resource Type:

Commentary

In focus: Creating pathways and partnerships to address patients’ social needs

M. Hostetter, S. Klein

Although health care professionals have long understood that social factors, including food insecurity and unstable housing, have an outsized effect on health, many have lacked the resources and financial incentives to intervene.

Publication Year:

2017

Resource Type:

Commentary

A community resource map to support clinical-community linkages in a randomized controlled trial of childhood obesity, eastern Massachusetts, 2014-2016

L. Fiechtner, G.C. Puente, M. Sharifi, J.P. Block, S. Price, R. Marshall, J. Blossom, M.W. Gerber, E.M. Taveras

Background: Novel approaches to health care delivery that leverage community resources could improve outcomes for children at high risk for obesity.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Qualitative, Randomized Controlled Trial (RCT)

Impact of health care delivery system innovations on total cost of care

K.W. Smith, A. Bir, N.L. Freeman, B.C. Koethe, J. Cohen, T.J. Day

Using delivery system innovations to advance health care reform continues to be of widespread interest. However, it is difficult to generalize about the success of specific types of innovations, since they have been examined in only a few studies.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Other Experimental Design

CommunityRx: A population health improvement innovation that connects clinics to communities

S.T. Lindau, J. Makelarski, E. Abramsohn, D.G. Beiser, V. Escamilla, J. Jerome, D. Johnson, A.N. Kho, K.K. Lee, T. Long, D.C. Miller

The CommunityRx system, a population health innovation, combined an e-prescribing model and community engagement to strengthen links between clinics and community resources for basic, wellness, and disease self-management needs in Chicago.

Publication Year:

2016

Resource Type:

Journal Article

Study Design:

Observational