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Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the
Christopher J Louis1, Elisa A Koppelman, Sara S Bachman
1Author Affiliations: Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts (Dr Louis); The Multi-Regional Clinical Trials Center of Brigham and Women's Hospital and Harvard, Cambridge, Massachusetts (Ms Koppelman), and University of Pennsylvania School of Social Policy and Practice, Philadelphia, Pennsylvania (Dr Bachman).
Abstract:
High utilizers of acute care in nonurban settings are at risk for poor health outcomes. Much of Massachusetts is nonurban, with many residents experiencing limited access to health care providers, fragmented health care services, inadequate housing, and low health literacy. This study examines patient perspectives on the Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program, a state-based grant program focused on advancing community hospitals toward value-based care. We found that CHART staff engaged patients in care coordination and patient advocacy, promoted patient agency and health literacy, and provided socioemotional support. These findings may help inform future program development around meeting the medical and social needs of high utilizers of health care services.
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