Evaluating the Accountable Health Communities Demonstration Project
Evaluating the Accountable Health Communities Demonstration Project
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DOI：
10.1007/s11606-016-3920-y
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发表时间：
2017-03-01
影响因子：
5.7
通讯作者：
Adler, Nancy
中科院分区：
文献类型：
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作者：
Gottlieb, Laura;Colvin, Jeffrey D.;Adler, Nancy
尽管有大量证据证明了疾病的社会模式，但关于卫生保健系统如何最好地干预社会决定因素以影响个人和人群健康的信息相对较少。医疗保险和医疗补助创新中心（CMMI）的责任健康社区（AHC）计划于2016年1月宣布，为改善综合社会和医疗保健服务的证据基础提供了一个重要机会。为了最大限度地从这一大规模示范中学习，全面评价工作应侧重于有效性和实施研究，支持地方、区域和国家对一系列成果的研究。这一示范的结果可以改变如何，何时以及哪些患者的健康相关的社会需求在医疗保健提供系统内得到解决。这些研究结果将有力地补充解决保健以外社会因素的其他举措。
Despite substantial evidence documenting the social patterning of disease, relatively little information is available on how the health care system can best intervene on social determinants to impact individual and population health. Announced in January 2016, the Centers for Medicare and Medicaid Innovation's (CMMI) Accountable Health Communities (AHC) initiative provides an important opportunity to improve the evidence base around integrated social and medical care delivery. To maximize learning from this large-scale demonstration, comprehensive evaluation efforts should focus on effectiveness and implementation research by supporting local, regional, and national studies across a range of outcomes. Findings from this demonstration could transform how, when, and which patients' health-related social needs are addressed within the health care delivery system. Such findings would strongly complement other initiatives to address social factors outside of health care.