Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency

A public health emergency such as the COVID-19 pandemic exacerbates the already challenging environment facing adults with complex health and social needs (ACHSN) and the systems of care that support them. Between September 2020 and April 2021, 51 participants representing six different stakeholder...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2023-02, Vol.34 (1), p.293-308
Main Authors: Cronholm, Peter F, Kellum, Wendell E, MacCombie, Alison, Nelson, Maria, Neergaard, Rebecca, Haywood, Ondra, Parido, Matthew E, Melochick, Jennifer, Tarka, Danielle Kraus, Barg, Frances K
Format: Article
Language:English
Subjects:
Adult
Adults
Chronic illnesses
COVID-19
COVID-19 - epidemiology
Data collection
Emergency medical care
Health care access
Health care policy
Health research
Health status
Humans
Mental health
Mental health care
Mental health services
Navigation
Needs
Outdoor air quality
Pandemics
Patient Navigation
Patients
Pharmacy
Populations
Public Health
Software
Stakeholders
Telemedicine
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Summary:A public health emergency such as the COVID-19 pandemic exacerbates the already challenging environment facing adults with complex health and social needs (ACHSN) and the systems of care that support them. Between September 2020 and April 2021, 51 participants representing six different stakeholder groups were engaged using interviews, asynchronous Delphi surveys, and a virtual stakeholder meeting to learn from their perspectives about the greatest needs and possible solutions affecting ACHSN populations during the COVID-19 pandemic and to develop a prioritized research agenda to improve care for ACHSN populations. Mental health and financial concerns were strongly and consistently endorsed as the most important issues. Future research priorities identified included both macro systems research such as testing alternative state-level models of payment for physical and mental health care and research that could be conducted at a local level (such as identifying needs for patient care navigation services and testing models of care navigation).
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2023.0019