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Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health
Annual Review of Public Health ( IF 20.8 ) Pub Date : 2021-04-02 , DOI: 10.1146/annurev-publhealth-090419-102204
Matthew W Kreuter 1 , Tess Thompson 1 , Amy McQueen 1, 2 , Rachel Garg 1
Affiliation  

There has been an explosion of interest in addressing social needs in health care settings. Some efforts, such as screening patients for social needs and connecting them to needed social services, are already in widespread practice. These and other major investments from the health care sector hint at the potential for new multisector collaborations to address social determinants of health and individual social needs. This article discusses the rapidly growing body of research describing the links between social needs and health and the impact of social needs interventions on health improvement, utilization, and costs. We also identify gaps in the knowledge base and implementation challenges to be overcome. We conclude that complementary partnerships among the health care, public health, and social services sectors can build on current momentum to strengthen social safety net policies, modernize social services, and reshape resource allocation to address social determinants of health.

中文翻译:


满足医疗保健环境中的社会需求:公共卫生的证据、挑战和机遇

人们对满足医疗保健环境中的社会需求的兴趣激增。一些努力,例如筛查患者的社会需求并将他们与所需的社会服务联系起来,已经得到广泛实践。这些以及来自医疗保健部门的其他重大投资暗示了新的多部门合作的潜力,以解决健康的社会决定因素和个人社会需求。本文讨论了快速增长的研究,描述了社会需求与健康之间的联系,以及社会需求干预对健康改善、利用和成本的影响。我们还确定了知识库中的差距和需要克服的实施挑战。我们的结论是,医疗保健、公共卫生和社会服务部门之间的互补伙伴关系可以在当前势头的基础上加强社会安全网政策,实现社会服务现代化,并重塑资源配置,以解决健康问题的社会决定因素。

更新日期:2021-04-04
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