Evidence map›Paper›PMID 27834253›Full record

ArticleHealth affairs (Project Hope)2016

Housing, Transportation, And Food: How ACOs Seek To Improve Population Health By Addressing Nonmedical Needs Of Patients.

Taressa Fraze, Valerie A Lewis, Hector P Rodriguez, Elliott S Fisher

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Article
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  7. Review
  8. Article
  9. Accountable care organizations and Medicare payments for residents with ADRD in disadvantaged neighborhoods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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  11. Approaching Social Determinants of Health in Otolaryngology - Head Neck Surgery: Linking Needs to Resources to Promote Health Equity.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2025
    Article
  12. Article
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  15. Medicare Payments and ACOs for Dementia Patients Across Race and Social Vulnerability.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
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  20. Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Taressa FrazeTaressa Fraze (taressa.fraze@dartmouth.edu) is a research scientist at the Dartmouth Institute for Health Policy and Clinical Practice, in Lebanon, New Hampshire.
Valerie A LewisValerie A. Lewis is an assistant professor at the Dartmouth Institute for Health Policy and Clinical Practice.
Hector P RodriguezHector P. Rodriguez is a professor of health policy and management and codirector of the Center for Healthcare Organizational and Innovation Research, both at the School of Public Health, University of California, Berkeley.
Elliott S FisherElliott S. Fisher is director of the Dartmouth Institute for Health Policy and Clinical Practice.

Funding

The Effects of Accountable Care Organizations on Health Care DisparitiesK01AG049914 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEWIS, VALERIE A · 2015 to 2019
$646k
Understanding the Integration of Medical Care and Social Services Under New Payment ModelsR03HS024792 · AHRQ · DARTMOUTH COLLEGE · PI LEWIS, VALERIE A · 2016 to 2017
$98k
AHRQ HHS R03 HS024792NIA NIH HHS K01 AG049914
6 · The paper itself

Abstract

Addressing nonmedical needs-such as the need for housing-is critical to advancing population health, improving the quality of care, and lowering the costs of care. Accountable care organizations (ACOs) are well positioned to address these needs. We used qualitative interviews with ACO leaders and site visits to examine how these organizations addressed the nonmedical needs of their patients, and the extent to which they did so. We developed a typology of medical and social services integration among ACOs that disentangles service and organizational integration. We found that the nonmedical needs most commonly addressed by ACOs were the need for transportation and housing and food insecurity. ACOs identified nonmedical needs through processes that were part of the primary care visit or care transformation programs. Approaches to meeting patients' nonmedical needs were either individualized solutions (developed patient by patient) or targeted approaches (programs developed to address specific needs). As policy makers continue to provide incentives for health care organizations to meet a broader spectrum of patients' needs, these findings offer insights into how health care organizations such as ACOs integrate themselves with nonmedical organizations.

Indexed as

Food SupplyHousingPopulation HealthTransportationAccountable Care OrganizationsHumansInterviews as TopicPrimary Health CareQualitative ResearchQuality ImprovementUnited StatesDeterminants Of HealthHealth ReformOrganization and Delivery of CarePrimary CarePublic Health

Identifiers

PMID27834253
PMCPMC5377443

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.