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Tracing value from social determinant solutions.

Len M Nichols1, Timothy A Waidman1, Lisa Clemans-Cope1

  • 1Health Policy Center, Urban Institute, 2201 General Taylor Street, New Orleans, LA 70115, United States.

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Summary
This summary is machine-generated.

Social determinants of health (SDOH) interventions provide significant societal value beyond healthcare savings. Our framework shows many SDOH programs yield a net positive return when considering all beneficiaries and benefits.

Keywords:
food insecurityhousing insecuritysocial determinants of healthvaluevalue of a statistical life

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Social Determinants of Health (SDOH)

Background:

  • Premature deaths from homelessness and food insecurity represent significant societal costs.
  • Existing research often underestimates the value of SDOH interventions by focusing narrowly on healthcare costs.

Purpose of the Study:

  • To develop and illustrate a framework for tracing the value of SDOH interventions across health, cost, quality, engagement, and equity.
  • To estimate the societal value lost due to homelessness and food insecurity.
  • To analyze the value of permanent supportive housing and medically tailored meals.

Main Methods:

  • Estimation of societal value lost to premature mortality using longitudinal methods.
  • Application of a value tracing framework to case studies of SDOH interventions.
  • Narrative literature review of high-quality studies on SDOH projects.

Main Results:

  • SDOH interventions demonstrate a broader range of benefits to multiple stakeholders, including non-healthcare savings.
  • When all beneficiaries are considered, many SDOH interventions show a net positive economic value.
  • Permanent supportive housing and medically tailored meals provide substantial value across dimensions.

Conclusions:

  • Recognizing the public good nature of SDOH interventions is crucial for accurate policy and investment decisions.
  • A comprehensive approach to valuing SDOH interventions is needed, accounting for all sources of value.
  • The developed framework can guide policymakers and coalitions in assessing and investing in SDOH initiatives.