Strengthening Community-Driven Safety-Net Interventions to Improve Health and Economic Equity

加强社区驱动的安全网干预措施，以改善健康和经济公平

• 批准号: 10781210
• 负责人: Samantha Cornell
• 金额: $ 112.5万
• 依托单位: ACCESS HEALTH INC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-22 至 2028-09-21
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781210
• 关键词: Address; Affect; Businesses; Caring; Child Care; Clinical; Collaborations; Collection; Communities; Complex; County; Data; Economics; Educational Status; Eligibility Determination; Employee; Employment; Employment Status; Equity; Family; Health; Health Priorities; Household; Income; Individual; Intervention; Investigation; Investments; Knowledge; Legal; Link; Low income; Mediating; Medicaid; Minority Groups; Organizational Policy; Outcome; Periodicals; Policies; Poverty; Privatization; Process; Qualifying; Reduce health disparities; Research; Research Project Grants; Resources; Role; Rural Population; Security; Stress; Structure; Transportation; Trust; Underemployment; Unemployment; Wages; Work; contextual factors; design; economic impact; experience; falls; federal poverty level; health disparity; health equity; holistic approach; improved; innovation; intervention program; low socioeconomic status; lower income families; programs; recruit; safety net; social; social health determinants

This project proposes a Sustainable Health Investment Partnership (SHIP), a new employer- engaged upstream intervention program to reduce health disparities by increasing economic stability for underemployed and low wage workers through an aligned and integrated countywide safety-net program. Families earning 135-350% of federal poverty level often experience little to no gain in net income as wages increase due to loss of public benefits such as Medicaid and are constrained by numerous barriers to health and economic mobility. The SHIP will be designed by cross-sector community partners to support workers throughout the continuum from poverty to financial security by (1) aligning and expanding three local employer-based innovations: Access Health (health coverage and SDoH impact), Tri-Share Childcare (childcare), and Wheels to Work (transportation) 2) collaborating with place-based Impact Hubs that target minority and rural populations 3) providing individualized, trust-based upstream SDOH support, connecting vulnerable workers to public, private, and community resources to address self-prioritized health and employment needs. The SHIP will be structured as a wellness plan to allow the collection of longitudinal data related to workers’ health, social needs, employment metrics, income level, and benefits eligibility to help create a value proposition for expanding the safety net for low income families, Participatory research with employers and residents will help understand relevant assets, causal loops and economic variables to effectively target governmental and organizational policy changes within our clinical, safety-net, and employer sectors. This project will improve health and economic stability in low-income households and draw additional individuals into the local workforce.

该项目提出了可持续健康投资合作伙伴关系（Ship），这是一个新的雇主 - 从事上游干预计划，通过增加经济来减少健康不适 稳定就业不足和低工资工人虽然是通过一致且综合的县 安全网计划。 由于失去了医疗补助等公共利益，净增加净增加，并且是 受到众多健康和经济流动性的限制。 通过跨安全社区合作伙伴，通过从贫困到工人的连续性来支持工人 通过（1）结盟和扩展三项基于本地雇主的创新：访问的财务安全 健康（健康覆盖范围和SDOH影响），Tri-Share育儿（托儿）和车轮上班 （运输）2）与针对少数民族和农村的基于地点的影响枢纽合作 人口3）提供个性化的，基于信任的上游SDOH支持，连接 对公共，私人和社区资源的脆弱工人来解决自我优先级健康 和就业需求。 纵向数据与工人的健康，社会需求，就业指标，收入水平以及 福利资格有助于创建一个价值主张，以扩大低收入的安全网 家庭，与雇主和居民的参与性研究将了解相关资产， 因果循环和经济变量有效针对政府和组织政策 我们的临床，安全网和雇主部门的变化。 低收入家庭的经济稳定，并将其他人吸引到当地 劳动力。