Leveraging the Social Determinants of Health: What Works?

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Leveraging the Social Determinants of Health: What Works?

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Title: Leveraging the Social Determinants of Health: What Works?
Author: Taylor, Lauren A.; Tan, Annabel Xulin; Coyle, Caitlin E.; Ndumele, Chima; Rogan, Erika; Canavan, Maureen; Curry, Leslie A.; Bradley, Elizabeth H.

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Citation: Taylor, Lauren A., Annabel Xulin Tan, Caitlin E. Coyle, Chima Ndumele, Erika Rogan, Maureen Canavan, Leslie A. Curry, and Elizabeth H. Bradley. 2016. “Leveraging the Social Determinants of Health: What Works?” PLoS ONE 11 (8): e0160217. doi:10.1371/journal.pone.0160217. http://dx.doi.org/10.1371/journal.pone.0160217.
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Abstract: We summarized the recently published, peer-reviewed literature that examined the impact of investments in social services or investments in integrated models of health care and social services on health outcomes and health care spending. Of 39 articles that met criteria for inclusion in the review, 32 (82%) reported some significant positive effects on either health outcomes (N = 20), health care costs (N = 5), or both (N = 7). Of the remaining 7 (18%) studies, 3 had non-significant results, 2 had mixed results, and 2 had negative results in which the interventions were associated with poorer health outcomes. Our analysis of the literature indicates that several interventions in the areas of housing, income support, nutrition support, and care coordination and community outreach have had positive impact in terms of health improvements or health care spending reductions. These interventions may be of interest to health care policymakers and practitioners seeking to leverage social services to improve health or reduce costs. Further testing of models that achieve better outcomes at less cost is needed.
Published Version: doi:10.1371/journal.pone.0160217
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4988629/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:29002670
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