ArticleBMC public health2023
Community-based organizations' perspectives on piloting health and social care integration in North Carolina.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Evaluation of Language Accessibility of Community Resources to Address Pediatric Social Needs in 2 Large US Cities.Academic pediatrics · 2026Article
- Food Insecurity Screening and Intervention Strategies in Pediatric Primary Care Practices: A Mixed Methods Study.Academic pediatrics · 2026Article
- Beyond capacity: qualitative stakeholder perspectives on demand for health-related social needs navigation through patient self-navigation tools.BMC health services research · 2026Article
- Outreach Assessment for Social Health Needs in Patients with Multiple Chronic Conditions: Qualitative Study of Patient Experience.Journal of general internal medicine · 2026Article
- Social service organizations report improvements in social services-health care integration in survey during California's medicaid initiative ("CalAIM").BMC public health · 2025Article
- Measures of Referral vs Receipt of Social Services Among Patients With Health-Related Social Needs.JAMA network open · 2024Article
- Optimizing the Collection, Integration, and Use of Health-Related Social Needs Data in the Primary Care Setting: Recommendations Derived From Key Interest-Holders.Journal of primary care & community healthArticle
- Thoughtful Investing in Social Care Management: The Cause of, and Solution to, All of Life's Problems.The Journal of ambulatory care managementArticle
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Authors and funding
8 authors.
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Abstract
backgroundCommunity-based organizations (CBOs) are key players in health and social care integration initiatives, yet little is known about CBO perspectives and experiences in these pilot programs. Understanding CBO perspectives is vital to identifying best practices for successful medical and social care integration.
methodsFrom February 2021 to March 2021, we conducted surveys with 12 CBOs that participated in the North Carolina COVID-19 Social Support Program, a pre-pilot for North Carolina's Medicaid Sect. 1115 demonstration waiver program that addresses social drivers of health.
resultsCBO participants preferred communication strategies that involved direct communication and felt clear communication was vital to the program's success. Participants expressed varied experiences regarding their ability to handle a changing volume of referrals. Participants identified their organizations' strengths as: strong organizational operations, past experiences with and understanding of the community, and coordination across organizations. Participants identified challenges as: difficulty communicating with clients, coping with capacity demands for scaling services, and lack of clear processes from external organizations. Almost all CBO participants expressed enthusiasm for participating in similar social care transformation programs in the future.
conclusionsCBO participants in our study had broadly positive experiences in the pilot program and almost all would participate in a similar program in the future. Participants provided perspectives that can inform health and social care integration initiatives, including strengths and challenges in such programs. To build and sustain health and social care integration programs, it is important to: (1) support CBOs through regular, direct communication that builds trust and power-sharing between CBO and health care entities; (2) leverage CBO community expertise; and (3) pursue an individualized assessment of CBO capacity and identify CBO capacity-building strategies that ensure program success and sustainability.
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