Defining and Rating the Effectiveness of Enabling Services Using a Multi-stakeholder Expert Panel Approach.

Abstract:

:The Affordable Care Act provides opportunities to reimburse non-medical enabling services that promote the delivery of medical care for patients with social barriers. However, limited evidence exists to guide delivery of these services. We addressed this gap by convening community health center patients, providers, and other stakeholders in two panels that developed a framework for defining and evaluating these services. We adapted a group consensus method where the panelists rated services for effectiveness in increasing access to, use, and understanding of medical care. Panelists defined six broad categories, 112 services, and 21 variables including the type of provider delivering the service. We identified 16 highest-rated services and found that the service provider's level of training affected effectiveness for some but not all services. In a field with little evidence, these findings provide guidance to decision-makers for the targeted spread of services that enable patients to overcome social barriers to care.

authors

Escaron AL,Weir RC,Stanton P,Clarke RM

doi

10.1353/hpu.2015.0035

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

554-76

issue

2

eissn

1049-2089

issn

1548-6869

pii

S1548686915200204

journal_volume

26

pub_type

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