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Health And Human Services Integration: Generating Sustained Health And Equity Improvements.
Caroline Fichtenberg1, Jorge Delva2, Karen Minyard3
1Caroline Fichtenberg ( Caroline. Fichtenberg@ucsf. edu ) is managing director of the Social Interventions Research and Evaluation Network and a research scientist in the Department of Family and Community Medicine at the University of California San Francisco.
Integrating health care and human services shows promise for improving health and reducing inequities. However, more research is needed on effectiveness, implementation, and the impact of organizational differences to ensure successful cross-sector partnerships.
Area of Science:
- Health Services Research
- Public Health Policy
- Social Determinants of Health
Background:
- Growing evidence highlights social determinants of health (SDOH).
- Value-based health care incentives are increasing.
- These trends drive integration of health care and human services.
Purpose of the Study:
- To examine the evidence on health care and human services integration.
- To identify knowledge gaps in effectiveness, implementation, and sustainability.
- To understand the influence of organizational power and resource differentials.
Main Methods:
- Review of current evidence on cross-sectoral partnerships.
- Analysis of factors influencing integration approaches and outcomes.
- Assessment of resource needs for successful integration.
Main Results:
- Evidence on integration effectiveness, implementation, and sustainability is sparse and mixed.
- Power and resource disparities between sectors impact integration.
- Societal investment in addressing social needs is crucial for impact.
Conclusions:
- Realizing the potential of integrated care requires filling knowledge gaps.
- Addressing organizational differentials is key to successful integration.
- Increased investment in social needs resources is necessary for desired population-level impacts.
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