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Strengthening Community-Driven Safety-Net Interventions to Improve Health and Economic Equity

加强社区驱动的安全网干预措施，以改善健康和经济公平

基本信息

批准号：
10781210
负责人：
Samantha Cornell
金额：
$ 112.5万
依托单位：
ACCESS HEALTH INC
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-22 至 2028-09-21
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10781210
关键词：
Address Affect Businesses Caring Child Care Clinical Collaborations Collection Communities Complex County Data Economics Educational Status Eligibility Determination Employee Employment Employment Status Equity Family Health Health Priorities Household Income Individual Intervention Investigation Investments Knowledge Legal Link Low income Mediating Medicaid Minority Groups Organizational Policy Outcome Periodicals Policies Poverty Privatization Process Qualifying Reduce health disparities Research Research Project Grants Resources Role Rural Population Security Stress Structure Transportation Trust Underemployment Unemployment Wages Work contextual factors design economic impact experience falls federal poverty level health disparity health equity holistic approach improved innovation intervention program low socioeconomic status lower income families programs recruit safety net social social health determinants

项目摘要

This project proposes a Sustainable Health Investment Partnership (SHIP), a new employer- engaged upstream intervention program to reduce health disparities by increasing economic stability for underemployed and low wage workers through an aligned and integrated countywide safety-net program. Families earning 135-350% of federal poverty level often experience little to no gain in net income as wages increase due to loss of public benefits such as Medicaid and are constrained by numerous barriers to health and economic mobility. The SHIP will be designed by cross-sector community partners to support workers throughout the continuum from poverty to financial security by (1) aligning and expanding three local employer-based innovations: Access Health (health coverage and SDoH impact), Tri-Share Childcare (childcare), and Wheels to Work (transportation) 2) collaborating with place-based Impact Hubs that target minority and rural populations 3) providing individualized, trust-based upstream SDOH support, connecting vulnerable workers to public, private, and community resources to address self-prioritized health and employment needs. The SHIP will be structured as a wellness plan to allow the collection of longitudinal data related to workers’ health, social needs, employment metrics, income level, and benefits eligibility to help create a value proposition for expanding the safety net for low income families, Participatory research with employers and residents will help understand relevant assets, causal loops and economic variables to effectively target governmental and organizational policy changes within our clinical, safety-net, and employer sectors. This project will improve health and economic stability in low-income households and draw additional individuals into the local workforce.

本项目提出了可持续卫生投资伙伴关系（SHIP），一个新的雇主