Implementing a Population-Based Social Determinants of Health Intervention: Early Lessons Learned from Collaboration between Clinical and Community Organizations.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01
Katherine Wu, Douglas Strane, Katherine Kellom, Stephanie Stokes, Kimberly Brunisholz, David Rubin, Heather Klusaritz, Peter F Cronholm
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Abstract

The purpose of this study was to understand the barriers and facilitators among diverse health care and community organization stakeholders implementing a populationbased social determinants of health (SDOH) intervention. The SDOH intervention included three core programs: SDOH screening, a community health worker program, and a digital referral platform. After one year of implementation, we conducted semi-structured qualitative interviews with clinical and community-based organization stakeholders about (1) the three SDOH programs, (2) organizational implementation strategies, (3) interactions with partner organizations, and (4) perceived target population needs. Findings from the first year of implementation highlighted several factors to consider when designing and implementing SDOH programming, including (1) the successful features of the three SDOH programs, (2) the local implementation strategies and challenges across organizations, (3) the impact of broader community needs and resource availability on implementation, and (4) the importance of intentionally fostering relationships and collaboration among partner organizations.

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实施基于人群的健康社会决定因素干预:从临床和社区组织合作中汲取的早期经验。
本研究旨在了解不同医疗保健和社区组织利益相关者在实施基于人口的健康社会决定因素(SDOH)干预措施时遇到的障碍和促进因素。SDOH 干预措施包括三个核心项目:SDOH 筛查、社区保健员计划和数字转介平台。实施一年后,我们对临床和社区组织的利益相关者进行了半结构化定性访谈,访谈内容包括:(1)三项 SDOH 计划;(2)组织实施策略;(3)与合作组织的互动;以及(4)感知的目标人群需求。第一年的实施结果凸显了在设计和实施 SDOH 计划时需要考虑的几个因素,包括:(1)三个 SDOH 计划的成功之处;(2)各组织的本地实施策略和挑战;(3)更广泛的社区需求和资源可用性对实施的影响;以及(4)有意培养合作伙伴组织之间的关系和合作的重要性。
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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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