Abstract：
BACKGROUND:Growing understanding of the influence of social determinants of health (SDH) on healthcare costs and outcomes for low income populations is leading State Medicaid agencies to consider incorporating SDH into their program design. This paper explores states' current approaches to SDH. METHODS:A mixed-methods approach combined a web-based survey sent through the Medicaid Medical Director Network (MMDN) listserv and semi-structured interviews conducted at the MMDN Annual Meeting in November 2017. RESULTS:Seventeen MMDs responded to the survey and 14 participated in an interview. More than half reported current collection of SDH data and all had intentions for future collection. Most commonly reported SDH screening topics were housing instability and food insecurity. In-depth interviews underscored barriers to optimal SDH approaches. CONCLUSION:These results demonstrate that Medicaid leaders recognize the importance of SDH in improving health, health equity, and healthcare costs for the Medicaid population but challenges for sustainable implementation remain.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Chisolm DJ,Brook DL,Applegate MS,Kelleher KJdoi
10.1186/s12913-019-3977-5subject
Has Abstractpub_date
2019-03-14 00:00:00pages
167issue
1issn
1472-6963pii
10.1186/s12913-019-3977-5journal_volume
19pub_type
杂志文章abstract：BACKGROUND:To ensure the highest efficiency, health services should be provided with the least possible complexity. The aim of this study is to quantify the degree of appropriateness in preoperatory hospital stays and to analyse those factors associated with a greater inappropriate use. METHODS:Historical cohort study...
journal_title：BMC health services research
pub_type： 杂志文章
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