Implementing a targeted approach to social determinants of health interventions.
Am J Manag Care
; 26(12): 502-504, 2020 12.
Article
in English
| MEDLINE | ID: covidwho-1068412
ABSTRACT
The scale of the coronavirus disease 2019 pandemic and its disproportionate impact on vulnerable populations has spurred unprecedented focus on and investment in social determinants of health (SDOH). Although the greater focus on social determinants is laudable and necessary, there is a tendency for health care organizations to implement SDOH programs at scale without rigorous evidence of effect, rather than targeting interventions to specific patients and assessing their impact. This broad, and sometimes blind, application of SDOH interventions can be costly and wasteful. We argue for rejecting the "more is better" mindset and specifically targeting patients who truly need and would substantially benefit from SDOH interventions. Matching interventions to the most appropriate patients involves screening for social needs, developing rigorous evidence of effect, and accompanying policy reform.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Community Health Services
/
Social Determinants of Health
/
COVID-19
/
Health Promotion
Type of study:
Experimental Studies
/
Observational study
Limits:
Humans
Language:
English
Journal:
Am J Manag Care
Journal subject:
Health Services
Year:
2020
Document Type:
Article
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