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 35

Integrating data on social determinants of health into electronic health records

M.N. Cantor, L. Thorpe
Health Affairs

As population health becomes more of a focus of health care, providers are realizing that data outside of traditional clinical findings can provide a broader perspective on potential drivers of a patient's health status and can identify approaches to improving the effectiveness of care.

Publication Year:

2018

Resource Type:

Commentary

An overview of food insecurity coding in health care settings: Existing and emerging opportunities

S. DeSilvey, A. Ashbrook, R. Sheward, H. Hartline-Grafton, S. Ettinger de Cuba, L. Gottlieb
Hunger Vital Sign™ National Community of Practice

Despite the increase in interest and attention to food insecurity in health care settings, available health care terminology and codes to document food insecurity and related activities are both underutilized and under-developed.

Publication Year:

2018

Resource Type:

Issue Brief/Report

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
J Ambul Care Manage

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

Publication Year:

2018

Resource Type:

Journal Article

Study Design:

Case Study

Integrating social determinants of health into primary care clinical and informational workflow during care transitions

S. Hewner, S. Casucci, S. Sullivan, F. Mistretta, Y. Xue, B. Johnson, R. Pratt, L. Lin, C. Fox
eGEMs (Generating Evidence & Methods to improve patient outcomes)

Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Case Study, Other Experimental Design

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
Am J Public Health

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
J Am Board Fam Med

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
J Community Health

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
The Commonwealth Fund

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
The Commonwealth Fund

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