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Related Concept Videos

Interdisciplinary Care: The Health Care Team-I01:21

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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Another way in which a group presence can affect performance is social loafing—the exertion of less effort by a person working together with a group. Social loafing occurs when our individual performance cannot be evaluated separately from the group. Thus, group performance declines on easy tasks (Karau & Williams, 1993). Essentially individual group members loaf and let other group members pick up the slack. Because each individual’s efforts cannot be evaluated,...
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Related Experiment Video

Updated: Feb 15, 2026

Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
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Integrating Social Needs Into Health Care: A Twenty-Year Case Study Of Adaptation And Diffusion.

Rebecca D Onie1, Risa Lavizzo-Mourey2, Thomas H Lee3

  • 1Rebecca D. Onie ( onie.rebecca@gmail.com ) is founder and CEO emerita of Health Leads, in Boston, Massachusetts.

Health Affairs (Project Hope)
|February 6, 2018
PubMed
Summary

Integrating social needs into healthcare is crucial. A 20-year study shows a practical approach evolves through five stages, emphasizing adaptation and broad adoption for effective care delivery and payment reform.

Keywords:
Determinants Of HealthHealth PhilanthropyHealth ReformOrganization and Delivery of CareQuality Of Care

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Healthcare Innovation

Background:

  • The US healthcare system is increasingly recognizing the impact of social needs on patient outcomes.
  • Integrating social needs into clinical care and payment reform is a recent development.

Purpose of the Study:

  • To present a 20-year qualitative case study on the diffusion of an approach for integrating social needs into clinical care.
  • To identify key stages and factors enabling the broad adoption of this integration model.

Main Methods:

  • Qualitative case study methodology over a 20-year period.
  • Analysis of five distinct stages of diffusion: testing and learning, standardization, replication, shifting from doing to enabling, and catalyzing broad adoption.
  • Examination of the Health Leads model and its funders.

Main Results:

  • The study identified five key stages in the diffusion of integrating social needs into clinical care.
  • Success factors include a clear aim, investment in model testing and standardization, and adaptability for local contexts.
  • Innovator and investor willingness to allow local adaptation accelerated broad adoption.

Conclusions:

  • A structured, adaptable approach is vital for integrating social needs into healthcare delivery.
  • Focusing on a clear aim and investing in model development are critical for successful diffusion.
  • Allowing local adaptation is key to accelerating the widespread adoption of social needs integration models.