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Quantifying Health Systems' Investment In Social Determinants Of Health, By Sector, 2017-19
Leora I Horwitz1, Carol Chang2, Harmony N Arcilla3
1Leora I. Horwitz ( leora. horwitz@nyulangone. org ) is an associate professor in the Department of Population Health, New York University (NYU) Grossman School of Medicine, in New York City.
Health Affairs (Project Hope)
|February 4, 2020
Summary
US health systems are increasingly investing in social determinants of health (SDOH) programs. These direct financial commitments, totaling over $2.5 billion, focus on housing, employment, and food security to improve community health outcomes.
Area of Science:
- Public Health
- Health Systems Research
- Health Economics
Background:
- Growing recognition of social determinants of health (SDOH) impact on health outcomes.
- Uncertainty regarding the extent of direct financial investments by US health systems in SDOH community programs versus screening/referral.
- Need to quantify health system financial commitments to address SDOH.
Purpose of the Study:
- To identify and quantify direct financial investments made by US health systems in community programs addressing SDOH.
- To analyze the focus areas and scale of these investments between January 1, 2017, and November 30, 2019.
Main Methods:
- Systematic search for public announcements of new programs involving direct financial investments by US health systems in SDOH.
- Data collection period: January 1, 2017, to November 30, 2019.
- Analysis of program scope, number of participating hospitals, and financial commitment amounts.
Main Results:
- Identified 78 unique programs involving 57 health systems and 917 hospitals.
- Total investment exceeded $2.5 billion from health system funds.
- $1.6 billion was allocated to housing interventions across 52 programs.
- Other key investment areas included employment ($1.1 billion), food security ($294.2 million), and education ($476.4 million).
Conclusions:
- US health systems are making substantial direct financial investments in addressing social determinants of health.
- Housing and employment represent the largest areas of investment.
- These findings indicate a significant shift towards proactive community-based interventions by health systems to improve population health.
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