Kevin P Fiori, Samantha R Levano, Silvie Colman, Jason Oliveira, Jessica Haughton, Miya Lemberg, Earle C Chambers, Andrew Telzak, Elizabeth Spurrell-Huss, Adam Sirois, Allison Stark, Andrew Racine
{"title":"Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System.","authors":"Kevin P Fiori, Samantha R Levano, Silvie Colman, Jason Oliveira, Jessica Haughton, Miya Lemberg, Earle C Chambers, Andrew Telzak, Elizabeth Spurrell-Huss, Adam Sirois, Allison Stark, Andrew Racine","doi":"10.1097/JAC.0000000000000515","DOIUrl":null,"url":null,"abstract":"<p><p>Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"48 1","pages":"39-51"},"PeriodicalIF":1.6000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF AMBULATORY CARE MANAGEMENT","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JAC.0000000000000515","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/10 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.
期刊介绍:
The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.