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Leveraging the Social Determinants of Health: What Works?

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  • Lauren A Taylor
  • Annabel Xulin Tan
  • Caitlin E Coyle
  • Chima Ndumele
  • Erika Rogan
  • Maureen Canavan
  • Leslie A Curry
  • Elizabeth H Bradley

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.

Suggested Citation

  • Lauren A Taylor & Annabel Xulin Tan & Caitlin E Coyle & Chima Ndumele & Erika Rogan & Maureen Canavan & Leslie A Curry & Elizabeth H Bradley, 2016. "Leveraging the Social Determinants of Health: What Works?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.
  • Handle: RePEc:plo:pone00:0160217
    DOI: 10.1371/journal.pone.0160217
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    3. Piroddi, Roberta & Downing, Jennifer & Duckworth, Helen & Barr, Benjamin, 2022. "The impact of an integrated care intervention on mortality and unplanned hospital admissions in a disadvantaged community in England: A difference-in-differences study," Health Policy, Elsevier, vol. 126(6), pages 549-557.
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