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 61 - 70 of 396

Adding social determinant data changes children's hospitals' readmissions performance

M.R. Sills, M. Hall, G.J. Cutler, J.D. Colvin, L.M. Gottlieb, M.L. Macy, J.L. Bettenhausen, R.B. Morse, E.S. Fieldston, J.L. Raphael, K.A. Auger, S.S. Shah

Objectives: To determine whether social determinants of health (SDH) risk adjustment changes hospital-level performance on the 30-day Pediatric All-Condition Readmission (PACR) measure and improves fit and accuracy of discharge-level models.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Observational

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

Care coordination at a pediatric Accountable Care Organization (ACO): A qualitative analysis

B. Hafeez, S. Miller, A.D. Patel, Z.M. Grinspan

Objective: Care coordinators may help manage care for children with chronic illness. Their role in pediatric epilepsy care is understudied. We aimed to qualitatively describe the content of a care coordination intervention for children with epilepsy.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Qualitative

A systematic review of interventions on patients' social and economic needs

L.M. Gottlieb, H. Wing, N.E. Adler

Context: Healthcare systems are experimenting increasingly with interventions to address patients' social and economic needs. This systematic review examines how often and how rigorously interventions bridging social and medical care have been evaluated.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Review

Replicating effective models of complex care management for older adults

K. Coburn, C. Grinberg, S. Demuynck, M. Hawthorne

Improving our system of care for older adults with complex, chronic illnesses requires wrestling with a vexing dilemma. Models of care that are readily scalable have limited effectiveness, and effective models are difficult to scale.

Publication Year:

2017

Resource Type:

Commentary

Does the supplemental nutrition assistance program affect hospital utilization among older adults? The case of Maryland

L.J. Samuel, S.L. Szanton, R. Cahill, J.L. Wolff, P. Ong, G. Zielinskie, C. Betley

This study sought to examine whether Supplemental Nutrition Assistance Program (SNAP) participation and benefit levels are associated with reduced subsequent hospital and emergency department utilization in low-income older adults.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Observational

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)

ICD social codes: An underutilized resource for tracking social needs

J.M. Torres, J. Lawlor, J.D. Colvin, M.R. Sills, J.L. Bettenhausen, A. Davidson, G.J. Cutler, M. Hall, L.M. Gottlieb

Background: Social determinants of health (SDH) data collected in health care settings could have important applications for clinical decision-making, population health strategies, and the design of performance-based incentives and penalties.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Observational

Community health workers bring cost savings to patient-centered medical homes

M.L. Moffett, A. Kaufman, A. Bazemore

The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Observational

Patient engagement at the margins: Health care providers' assessments of engagement and the structural determinants of health in the safety-net

M.D. Fleming, J.K. Shim, I.H. Yen, A. Thompson-Lastad, S. Rubin, M. Van Natta, N.J. Burke

Increasing "patient engagement" has become a priority for health care organizations and policy-makers seeking to reduce cost and improve the quality of care.

Publication Year:

2017

Resource Type:

Journal Article

Study Design:

Qualitative