Lessons from the Health Care Innovation Awards: Productively Engaging Vulnerable Populations to Address Social Determinants of Health

Authors

Maysoun Freij, NORC at the University of ChicagoFollow
Megan Skillman, NORC at the University of Chicago
Caitlin Cross-Barnet, Center for Medicare and Medicaid Innovation, Centers for Medicare and Medicaid
Rachel Friedman Singer, NORC at the University of Chicago
Christina Rotondo, NORC at the University of Chicago
Michelle Dougherty, NORC at the University of Chicago
Sarah Ruiz, NORC at the University of Chicago
Adil Moiduddin, NORC at the University of Chicago
Lynne Page Snyder, NORC at the University of Chicago

Keywords

Social determinants of health; Chronic Care Model; productive interactions; vulnerable populations; health care innovation

Disciplines

Health Services Research

Abstract

Objectives: This paper examines productive interactions—a cornerstone of the Chronic Care Model—between health care providers and vulnerable populations with chronic illnesses and/or disabilities. Methods: We conducted qualitative analysis of 16 focus groups and 29 interviews with patients and/or caregivers and 195 interviews with program leadership and providers across 15 Health Care Innovation Awards that targeted vulnerable populations. We analyzed how awardees addressed health concerns and social determinants of health (SDOH), and identified key components of productive interactions. Results: Providers achieved productive interactions through four primary strategies: establishing trust and showing respect; solving problems; building accuracy in health information exchange; and sharing accountability and responsibility. While providers sought cooperation from patients and caregivers for medical goals, they often addressed SDOH priorities. Discussion: Strategies tailored to vulnerable populations can enable shared decision-making and effective self-care. A nonjudgmental engagement style, accurate information, and consistent communication are important for patient engagement.

Recommended Citation

Freij, Maysoun; Skillman, Megan; Cross-Barnet, Caitlin; Friedman Singer, Rachel; Rotondo, Christina; Dougherty, Michelle; Ruiz, Sarah; Moiduddin, Adil; and Page Snyder, Lynne (2021) "Lessons from the Health Care Innovation Awards: Productively Engaging Vulnerable Populations to Address Social Determinants of Health," Journal of Health Disparities Research and Practice: Vol. 14: Iss. 2, Article 2.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol14/iss2/2