Loading…

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...

Full description

Saved in:
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:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 308
container_issue 1
container_start_page 293
container_title Journal of health care for the poor and underserved
container_volume 34
creator 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
description 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).
doi_str_mv 10.1353/hpu.2023.0019
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2839741837</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2928496701</sourcerecordid><originalsourceid>FETCH-LOGICAL-c322t-720a2ba742f8af16db63d581c9f9742543d2f0e94c54ae1fa654fc7fb4c2d9c63</originalsourceid><addsrcrecordid>eNpdkctu1DAUQC1ERUthyRZZYsMmU7-S2MtqNNBKFVSasrYc-3omg5MMdlzo3-OoDyRWfujoXFsHoQ-UrCiv-cX-mFeMML4ihKpX6IzWQlaNbNTrsidCVYxIdYrepnQghHAu-Bt0ylvRCKHqM3S_GXdm1487vJ3NT9hPwUFMeJ7w9XCM0z3gtYmA_RTxpcthTvh3P-_xehqOAf7gKzChHM3o8HayvQn4G4BL2OW4OA2-zV3o7TO3GSDuYLQP79CJNyHB-6f1HP34srlbX1U3379ery9vKssZm6uWEcM60wrmpfG0cV3DXS2pVV6Vy1pwxzwBJWwtDFBvmlp42_pOWOaUbfg5-vzoLX_5lSHNeuiThRDMCFNOmkleRFTytqCf_kMPU45jeZ1mikmhmpbQQlWPlI1TShG8PsZ-MPFBU6KXILoE0UsQvQQp_Mcna-4GcC_0c4ECiJexB7DzkBP8mywlI7zW26XqEpVxumgZ_wsbr5aE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2928496701</pqid></control><display><type>article</type><title>Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection</source><source>Social Science Premium Collection</source><source>Sociology Collection</source><source>PAIS Index</source><source>Sociological Abstracts</source><creator>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</creator><creatorcontrib>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</creatorcontrib><description>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).</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2023.0019</identifier><identifier>PMID: 37464495</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>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</subject><ispartof>Journal of health care for the poor and underserved, 2023-02, Vol.34 (1), p.293-308</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2928496701?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12837,21385,21386,27335,27857,27915,27916,30990,33602,33603,33765,34521,34522,43724,44106</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37464495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cronholm, Peter F</creatorcontrib><creatorcontrib>Kellum, Wendell E</creatorcontrib><creatorcontrib>MacCombie, Alison</creatorcontrib><creatorcontrib>Nelson, Maria</creatorcontrib><creatorcontrib>Neergaard, Rebecca</creatorcontrib><creatorcontrib>Haywood, Ondra</creatorcontrib><creatorcontrib>Parido, Matthew E</creatorcontrib><creatorcontrib>Melochick, Jennifer</creatorcontrib><creatorcontrib>Tarka, Danielle Kraus</creatorcontrib><creatorcontrib>Barg, Frances K</creatorcontrib><title>Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>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).</description><subject>Adult</subject><subject>Adults</subject><subject>Chronic illnesses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Data collection</subject><subject>Emergency medical care</subject><subject>Health care access</subject><subject>Health care policy</subject><subject>Health research</subject><subject>Health status</subject><subject>Humans</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Navigation</subject><subject>Needs</subject><subject>Outdoor air quality</subject><subject>Pandemics</subject><subject>Patient Navigation</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Populations</subject><subject>Public Health</subject><subject>Software</subject><subject>Stakeholders</subject><subject>Telemedicine</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>ALSLI</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNpdkctu1DAUQC1ERUthyRZZYsMmU7-S2MtqNNBKFVSasrYc-3omg5MMdlzo3-OoDyRWfujoXFsHoQ-UrCiv-cX-mFeMML4ihKpX6IzWQlaNbNTrsidCVYxIdYrepnQghHAu-Bt0ylvRCKHqM3S_GXdm1487vJ3NT9hPwUFMeJ7w9XCM0z3gtYmA_RTxpcthTvh3P-_xehqOAf7gKzChHM3o8HayvQn4G4BL2OW4OA2-zV3o7TO3GSDuYLQP79CJNyHB-6f1HP34srlbX1U3379ery9vKssZm6uWEcM60wrmpfG0cV3DXS2pVV6Vy1pwxzwBJWwtDFBvmlp42_pOWOaUbfg5-vzoLX_5lSHNeuiThRDMCFNOmkleRFTytqCf_kMPU45jeZ1mikmhmpbQQlWPlI1TShG8PsZ-MPFBU6KXILoE0UsQvQQp_Mcna-4GcC_0c4ECiJexB7DzkBP8mywlI7zW26XqEpVxumgZ_wsbr5aE</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Cronholm, Peter F</creator><creator>Kellum, Wendell E</creator><creator>MacCombie, Alison</creator><creator>Nelson, Maria</creator><creator>Neergaard, Rebecca</creator><creator>Haywood, Ondra</creator><creator>Parido, Matthew E</creator><creator>Melochick, Jennifer</creator><creator>Tarka, Danielle Kraus</creator><creator>Barg, Frances K</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TQ</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>UXAQP</scope><scope>7X8</scope></search><sort><creationdate>20230201</creationdate><title>Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-720a2ba742f8af16db63d581c9f9742543d2f0e94c54ae1fa654fc7fb4c2d9c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Chronic illnesses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Data collection</topic><topic>Emergency medical care</topic><topic>Health care access</topic><topic>Health care policy</topic><topic>Health research</topic><topic>Health status</topic><topic>Humans</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Navigation</topic><topic>Needs</topic><topic>Outdoor air quality</topic><topic>Pandemics</topic><topic>Patient Navigation</topic><topic>Patients</topic><topic>Pharmacy</topic><topic>Populations</topic><topic>Public Health</topic><topic>Software</topic><topic>Stakeholders</topic><topic>Telemedicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cronholm, Peter F</creatorcontrib><creatorcontrib>Kellum, Wendell E</creatorcontrib><creatorcontrib>MacCombie, Alison</creatorcontrib><creatorcontrib>Nelson, Maria</creatorcontrib><creatorcontrib>Neergaard, Rebecca</creatorcontrib><creatorcontrib>Haywood, Ondra</creatorcontrib><creatorcontrib>Parido, Matthew E</creatorcontrib><creatorcontrib>Melochick, Jennifer</creatorcontrib><creatorcontrib>Tarka, Danielle Kraus</creatorcontrib><creatorcontrib>Barg, Frances K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest Natural Science Collection</collection><collection>Black Studies Center</collection><collection>ProQuest One Community College</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>ProQuest Black Studies</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health care for the poor and underserved</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cronholm, Peter F</au><au>Kellum, Wendell E</au><au>MacCombie, Alison</au><au>Nelson, Maria</au><au>Neergaard, Rebecca</au><au>Haywood, Ondra</au><au>Parido, Matthew E</au><au>Melochick, Jennifer</au><au>Tarka, Danielle Kraus</au><au>Barg, Frances K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>34</volume><issue>1</issue><spage>293</spage><epage>308</epage><pages>293-308</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><abstract>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).</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>37464495</pmid><doi>10.1353/hpu.2023.0019</doi><tpages>16</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1049-2089
ispartof Journal of health care for the poor and underserved, 2023-02, Vol.34 (1), p.293-308
issn 1049-2089
1548-6869
1548-6869
language eng
recordid cdi_proquest_miscellaneous_2839741837
source Applied Social Sciences Index & Abstracts (ASSIA); Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection; Sociology Collection; PAIS Index; Sociological Abstracts
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
title Engaging Stakeholders to Improve Care for Adults with Complex Health and Social Needs during a Public Health Emergency
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T06%3A34%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Engaging%20Stakeholders%20to%20Improve%20Care%20for%20Adults%20with%20Complex%20Health%20and%20Social%20Needs%20during%20a%20Public%20Health%20Emergency&rft.jtitle=Journal%20of%20health%20care%20for%20the%20poor%20and%20underserved&rft.au=Cronholm,%20Peter%20F&rft.date=2023-02-01&rft.volume=34&rft.issue=1&rft.spage=293&rft.epage=308&rft.pages=293-308&rft.issn=1049-2089&rft.eissn=1548-6869&rft_id=info:doi/10.1353/hpu.2023.0019&rft_dat=%3Cproquest_cross%3E2928496701%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c322t-720a2ba742f8af16db63d581c9f9742543d2f0e94c54ae1fa654fc7fb4c2d9c63%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2928496701&rft_id=info:pmid/37464495&rfr_iscdi=true