Quantifying Health Systems' Investment In Social Determinants Of Health, By Sector, 2017-19
Quantifying Health Systems' Investment In Social Determinants Of Health, By Sector, 2017-19
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DOI：
10.1377/hlthaff.2019.01246
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发表时间：
2020-02-01
期刊：
影响因子：
9.7
通讯作者：
Knickman, James R.
中科院分区：
文献类型：
--
作者：
Horwitz, Leora I.;Chang, Carol;Knickman, James R.
过去十年，人们越来越认识到健康的社会决定因素对健康结果的重要性。然而，美国卫生系统在多大程度上直接投资于社区项目以解决健康的社会决定因素，而不是进行筛查和转诊，这并不确定。我们搜索了2017年1月1日至2019年11月30日期间美国卫生系统所有涉及对健康的社会决定因素进行直接财务投资的新项目公告。我们确定了78个独特的项目，涉及57个卫生系统，这些系统总共包括917家医院。这些项目涉及至少25亿美元的卫生系统资金，其中52个项目中的16亿美元专门用于以住房为重点的干预措施。其他重点领域包括就业（28个项目，11亿美元）、教育（14个项目，4.764亿美元）、粮食安全（25个项目，2.942亿美元）、社会和社区环境（13个项目，2.531亿美元）以及交通（6个项目，3200万美元）。卫生系统正在对健康的社会决定因素进行大量投资。
The past decade has seen a growing recognition of the importance of social determinants of health for health outcomes. However, the degree to which US health systems are directly investing in community programs to address social determinants of health as opposed to screening and referral is uncertain. We searched for all public announcements of new programs involving direct financial investments in social determinants of health by US health systems from January 1, 2017, to November 30, 2019. We identified seventy-eight unique programs involving fifty-seven health systems that collectively included 917 hospitals. The programs involved at least $2.5 billion of health system funds, of which $1.6 billion in fifty-two programs was specifically committed to housing-focused interventions. Additional focus areas were employment (twenty-eight programs, $1.1 billion), education (fourteen programs, $476.4 million), food security (twenty-five programs, $294.2 million), social and community context (thirteen programs, $253.1 million), and transportation (six programs, $32 million). Health systems are making sizable investments in social determinants of health.