Evidence & Resource Library
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The SIREN Evidence & Resource Library has expanded to include both peer-reviewed publications and other types of resources such as webinars and screening tools/toolkits on medical and social care integration. To limit your search to peer-reviewed articles, select Peer Reviewed Research under Resource Type. If you have questions about how to use the library or suggestions about additional resources, view this help document or write us at firstname.lastname@example.org.
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Safety-Net Accountable Health Model partnership drives inpatient connection to outpatient social services, reducing readmissions in a population experiencing homelessness
Prof Case Manag
Purpose of Study: To evaluate whether screening for homelessness during hospitalization and deploying outpatient care managers (CMs) to the inpatient setting to rapidly connect patients to community social services reduce hospital readmissions.
Social determinants matter for hospital readmission policy: Insights from New York City
This study assessed the impact of individual social risk factor variables and social determinants of health (SDOH) measures on hospital readmission rates and penalties used in the Centers for Medicare and Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP).
The efficacy of the Geriatric Model of Care in emergency housing programs for homeless Veterans
Introduction: The aging homeless population currently makes up half the general homeless population. However, there are few homeless emergency shelters that can address their needs. This results in an overutilization of inpatient admissions and emergency room services.
Use of social determinants of health codes in home-based primary care
J Am Assoc Nurse Pract
Background: The Affordable Care Act created funding for nurse practitioner education programs to transform the primary health care workforce through student awareness of how social, political, economic, and environmental factors influence individual and population health.
Using malnutrition and food insecurity screening to identify broader health-related social needs amongst older adults receiving emergency department care in the Southeastern United States: A cross-sectional study
Health Soc Care Community
Unmet health‐related social needs are common amongst older US adults and impact both quality of life and health outcomes.
Comparison of patient experience between primary care settings tailored for homeless clientele and mainstream care settings
Background: More than 1 million Americans receive primary care from federal homeless health care programs yearly. Vulnerabilities that can make care challenging include pain, addiction, psychological distress, and a lack of shelter.
Impacting poverty with medical financial partnerships focused on tax incentives
NEJM Catalyst Innovations in Care Delivery
Poverty is a significant determinant of health. Despite poverty’s many ramifications, the health care delivery system does not typically address it directly.
CommunityRx: Optimizing a community resource referral intervention for minority dementia caregivers
J Appl Gerontol
Community resource referral systems have been implemented into care settings that serve persons with dementia but with little input from caregivers.
Effects of permanent supportive housing on health care utilization and spending among New Jersey Medicaid enrollees experiencing homelessness
Background: Permanent supportive housing (PSH) programs have the potential to improve health and reduce Medicaid expenditures for beneficiaries experiencing homelessness. However, most research on PSH has been limited to small samples of narrowly defined populations.