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伙伴关系（SHIP），一个新的雇主- 参与上游干预计划，通过增加经济来减少健康差距 通过在全县范围内统一和整合，确保就业不足和低工资工人的稳定 收入为联邦贫困线 135-350% 的家庭通常几乎没有经历过安全网计划。 由于失去医疗补助等公共福利而导致工资增加，因此净收入没有增加 SHIP 的设计将受到众多健康和经济流动性障碍的限制。 由跨部门社区合作伙伴在从贫困到贫困的整个过程中为工人提供支持 通过 (1) 调整和扩展三项本地雇主创新来保障财务安全： 健康（健康覆盖和 SDoH 影响）、Tri-Share Childcare（儿童保育）和 Wheels to Work （交通）2) 与针对少数族裔和农村地区的地方影响力中心合作 3) 提供个性化、基于信任的上游 SDOH 支持、连接 弱势工人利用公共、私人和社区资源来解决自我优先的健康问题 SHIP 将被构建为一项健康计划，以允许收集 与工人健康、社会需求、就业指标、收入水平和 帮助创造扩大低收入安全网的价值主张的福利资格 家庭、雇主和居民的参与性研究将有助于了解相关资产， 因果循环和经济变量可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将改善健康和健康。 低收入家庭的经济稳定并吸引更多的人加入当地 劳动力。