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      Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health

      1 , 1 , 1 , 2 , 1
      Annual Review of Public Health
      Annual Reviews

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          Abstract

          There has been an explosion of interest in addressing social needs in health care settings. Some efforts, such as screening patients for social needs and connecting them to needed social services, are already in widespread practice. These and other major investments from the health care sector hint at the potential for new multisector collaborations to address social determinants of health and individual social needs. This article discusses the rapidly growing body of research describing the links between social needs and health and the impact of social needs interventions on health improvement, utilization, and costs. We also identify gaps in the knowledge base and implementation challenges to be overcome. We conclude that complementary partnerships among the health care, public health, and social services sectors can build on current momentum to strengthen social safety net policies, modernize social services, and reshape resource allocation to address social determinants of health.

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          Most cited references92

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          The Social Determinants of Health: It's Time to Consider the Causes of the Causes

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            Social Conditions As Fundamental Causes of Disease

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              WHO European review of social determinants of health and the health divide

              The European region has seen remarkable heath gains in those populations that have experienced progressive improvements in the conditions in which people are born, grow, live, and work. However, inequities, both between and within countries, persist. The review reported here, of inequities in health between and within countries across the 53 Member States of the WHO European region, was commissioned to support the development of the new health policy framework for Europe: Health 2020. Much more is understood now about the extent, and social causes, of these inequities, particularly since the publication in 2008 of the report of the Commission on Social Determinants of Health. The European review builds on the global evidence and recommends policies to ensure that progress can be made in reducing health inequities and the health divide across all countries, including those with low incomes. Action is needed--on the social determinants of health, across the life course, and in wider social and economic spheres--to achieve greater health equity and protect future generations. Copyright © 2012 Elsevier Ltd. All rights reserved.

                Author and article information

                Journal
                Annual Review of Public Health
                Annu. Rev. Public Health
                Annual Reviews
                0163-7525
                1545-2093
                April 01 2021
                April 01 2021
                : 42
                : 1
                : 329-344
                Affiliations
                [1 ]The Brown School, Washington University in St. Louis, St. Louis, Missouri 63130, USA;, , ,
                [2 ]School of Medicine, Washington University in St. Louis, St. Louis, Missouri 63110, USA
                Article
                10.1146/annurev-publhealth-090419-102204
                33326298
                779bf5f7-e0e7-439b-aa79-a920d46f49f7
                © 2021

                http://creativecommons.org/licenses/by/4.0/

                History

                General life sciences,Immunology,Social & Behavioral Sciences,Health & Social care,Infectious disease & Microbiology,Public health

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