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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Chisolm, Deena J. Brook, Daniel L. Applegate, Mary S. Kelleher, Kelly J. |
| 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. |
| Related Links | https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-3977-5.pdf |
| Ending Page | 7 |
| Page Count | 7 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14726963 |
| DOI | 10.1186/s12913-019-3977-5 |
| Journal | BMC Health Services Research |
| Issue Number | 1 |
| Volume Number | 19 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2019-03-14 |
| Access Restriction | Open |
| Subject Keyword | Public Health Health Administration Health Informatics Nursing Research Medicaid Social determinants Population health Equity Health insurance Low-income |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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