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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Community Health Initiatives

Background:

  • Health inequities persist across the U.S.
  • Social Determinants of Health (SDOH) are key to reducing inequities.
  • Existing funding models for SDOH are often limited.

Purpose of the Study:

  • To describe the evolution and practical application of the Collaborative Approach to Public Good Investments (CAPGI) model.
  • To synthesize insights from implementing CAPGI in three diverse communities.
  • To identify common themes in governance and coalition dynamics for local SDOH investments.

Main Methods:

  • Development of the CAPGI financing model.
  • Provision of technical assistance to three implementing communities.
  • Analysis of governance processes and coalition dynamics within these communities.

Main Results:

  • CAPGI demonstrates that SDOH investments can be funded through multi-organizational value alignment, reducing reliance on traditional funding.
  • Successful implementation requires effective governance structures and strong coalition dynamics.
  • Common themes emerged across communities regarding stakeholder engagement and shared investment benefits.

Conclusions:

  • The CAPGI model offers a viable pathway for sustainable, local SDOH investments.
  • Aligning SDOH initiatives with healthcare organizations' self-interest is crucial for funding.
  • Effective community-level governance and collaboration are essential for successful place-based health investments.