Community-based organizations’ perspectives on improving health and social service integration

BMC Public Health

Vanessa Nunez¹  Etsemaye P. Agonafer²  Tiffany Kenison³  Clemens S. Hong³  Kelli Poole³  Jessica Jara⁴  Sarmen Hakopian⁵  Ish Bhalla⁶  Maria Morales⁷  Savanna L. Carson⁷  Francesca Cameron⁸  Arleen F. Brown⁹  Stefanie D. Vassar⁹ 

[1] David Geffen School of Medicine at UCLA, Los Angeles, USA;Program in Medical Education Leadership and Advocacy (PRIME-LA), Los Angeles, USA;Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, USA;Los Angeles County Department of Health Services (LAC DHS), Los Angeles, USA;UCLA CTSI Community Engagement and Research Program (CERP), Los Angeles, USA;Los Angeles County Department of Health Services (LAC DHS), Los Angeles, USA;UCLA CTSI Community Engagement and Research Program (CERP), Los Angeles, USA;Los Angeles County Department of Health Services (LAC DHS), Los Angeles, USA;Olive View-UCLA Medical Center, Slymar, USA;UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, USA;UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, USA;UCLA CTSI Community Engagement and Research Program (CERP), Los Angeles, USA;UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, USA;UCLA CTSI Community Engagement and Research Program (CERP), Los Angeles, USA;Los Angeles County Department of Health Services (LAC DHS), Los Angeles, USA;UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, USA;UCLA CTSI Community Engagement and Research Program (CERP), Los Angeles, USA;Los Angeles County Department of Health Services (LAC DHS), Los Angeles, USA;Olive View-UCLA Medical Center, Slymar, USA;

关键词: Medicaid populations;    High-risk populations;    Health and social service integration;    Social determinants of health;   

DOI  :  10.1186/s12889-021-10449-w

来源: Springer

【 摘 要 】

BackgroundCollaborations between health systems and community-based organizations (CBOs) are increasingly common mechanisms to address the unmet health-related social needs of high-risk populations. However, there is limited evidence on how to develop, manage, and sustain these partnerships, and implementation rarely incorporates perspectives of community social service organizations. To address these gaps, we elicited CBOs’ perspectives on service delivery for clients, the impact of the Whole Person Care-Los Angeles (WPC-LA) initiative to integrate health and social care, and their suggestions for improving health system partnerships.MethodsUsing stakeholder engaged principles and a qualitative Rapid Assessment Process, we conducted brief surveys and in-depth semi-structured interviews with 65 key informants from 36 CBOs working with WPC-LA.ResultsMajor themes identified by CBOs included: 1) the importance of a holistic, client-centered, continuously engaged approach that is reliant on regional partnerships; 2) benefits of WPC-LA expanding capacity and networks; 3) concerns about communication and redundancy hindering WPC-LA; and 4) a need for more equitable partnerships incorporating their approaches.ConclusionsCBOs value opportunities for integration with health systems, bring critical expertise to these partnerships, and seek to strengthen cross-sector collaborations. Early, equitable, and inclusive participation in the development and implementation of these partnerships may enhance their effectiveness, but requires policy that prioritizes and incentivizes sustainable and mutually beneficial partnerships.

【 授权许可】

CC BY