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Investing in Interventions That Address Non-Medical, Health-Related Social Needs - Proceedings of a Workshop (Paperback)
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Investing in Interventions That Address Non-Medical, Health-Related Social Needs - Proceedings of a Workshop (Paperback)
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With U.S. health care costs projected to grow at an average rate of
5.5 percent per year from 2018 to 2027, or 0.8 percentage points
faster than the gross domestic product, and reach nearly $6.0
trillion per year by 2027, policy makers and a wide range of
stakeholders are searching for plausible actions the nation can
take to slow this rise and keep health expenditures from consuming
an ever greater portion of U.S. economic output. While health care
services are essential to heath, there is growing recognition that
social determinants of health are important influences on
population health. Supporting this idea are estimates that while
health care accounts for some 10 to 20 percent of the determinants
of health, socioeconomic factors and factors related to the
physical environment are estimated to account for up to 50 percent
of the determinants of health. Challenges related to the social
determinants of health at the individual level include housing
insecurity and poor housing quality, food insecurity, limitations
in access to transportation, and lack of social support. These
social needs affect access to care and health care utilization as
well as health outcomes. Health care systems have begun exploring
ways to address non-medical, health-related social needs as a way
to reduce health care costs. To explore the potential effect of
addressing non-medical health-related social needs on improving
population health and reducing health care spending in a
value-driven health care delivery system, the National Academies of
Science, Engineering, and Medicine held a full-day public workshop
titled Investing in Interventions that Address Non-Medical,
Health-Related Social Needs on April 26, 2019, in Washington, DC.
The objectives of the workshop were to explore effective practices
and the supporting evidence base for addressing the non-medical
health-related social needs of individuals, such as housing and
food insecurities; review assessments of return on investment (ROI)
for payers, healthy systems, and communities; and identify gaps and
opportunities for research and steps that could help to further the
understanding of the ROI on addressing non-medical health-related
social needs. This publication summarizes the presentations and
discussions from the workshop. Table of Contents Front Matter 1
Introduction 2 Setting the Stage 3 Housing Interventions 4
Interventions Addressing Food Insecurity 5 Interventions Addressing
Multiple Social Needs 6 Return on Investment 7 Research Gaps 8
Reflections on the Day References Appendix A: Statement of Task
Appendix B: Workshop Agenda Appendix C: Speaker Biographical
Sketches
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