Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs.

This study examines the perspectives, resources, role and services provided by community‐based organisations (CBOs) in response to the integration of health and social services to address individual unmet social needs, as well as the impact on organisational carrying capacity related to the ability...

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Publicado en:Health & Social Care in the Community Vol. 29; no. 2; pp. 487 - 496
Autores principales: Hogg‐Graham, Rachel, Edwards, Katie, Ely, Todd, Mochizuki, Malinda, Varda, Danielle
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
      vid: 29
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/hsc.13109
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        atl: Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs.
      aug:
        au:
          Hogg‐Graham, Rachel
          Edwards, Katie
          Ely, Todd
          Mochizuki, Malinda
          Varda, Danielle
        affil: University of Kentucky College of Health Sciences, Lexington KY,, USA
      sug:
        subj:
          Community Health Services
          Health Care Delivery
          Population Health
          Public Sector
          Private Sector
          Referral and Consultation
          Social Determinants of Health
          Needs Assessment
          Human
          Funding Source
          Surveys
          Questionnaires
          Interviews
          Social Network Analysis
          Health Care Delivery, Integrated
      ab: This study examines the perspectives, resources, role and services provided by community‐based organisations (CBOs) in response to the integration of health and social services to address individual unmet social needs, as well as the impact on organisational carrying capacity related to the ability to receive referrals from health system partners. Mixed methods combining qualitative interviews with 24 organisations and Social Network Analysis with 75 organisations were completed in 2018 in two communities (Denton, TX and Sarasota, FL) with robust examples of health and social systems alignment. Findings suggest that while community organisations are embedded in robust cross‐sector networks, the potential increase in referrals from clinical settings is not something they are fully aware of, or prepared for, as evidenced by inadequate funding models, misalignment between capacity and capability, and a lack of coordination on screening and referral activities. Misalignment between clinical and CBO understanding of demand, needs and capacity present a potential risk in building strategies that integrate health and social services to address unmet social need. Failing to build a strong cross‐sector screening and referral infrastructure that considers CBO capacity from the start could undermine the goal of improving population health through the integration of clinical and social care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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