In recent years, health care policy makers have focused increasingly on addressing social drivers of health as a strategy for improving health and health equity. Impacts of social, economic, and environmental conditions on health are well established. However, less is known about the implementation and impact of approaches used by health care providers and payers to address social drivers of health in clinical settings. This article reviews current efforts by US health care organizations and public payers such as Medicaid and Medicare to address social drivers of health at the individual and community levels. We summarize the limited available evidence regarding intervention impacts on health care utilization, costs, and integration of care and identify key lessons learned from current implementation efforts.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

中文翻译：

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满足临床环境中的社会需求：实施及其对医疗保健利用、成本和护理整合的影响

近年来，医疗保健政策制定者越来越注重解决健康的社会驱动因素，作为改善健康和健康公平的战略。社会、经济和环境条件对健康的影响是众所周知的。然而，人们对医疗保健提供者和付款人用于解决临床环境中健康社会驱动因素的方法的实施和影响知之甚少。本文回顾了美国医疗保健组织和医疗补助和医疗保险等公共付款人目前为解决个人和社区层面健康的社会驱动因素所做的努力。我们总结了有关干预措施对医疗保健利用、成本和护理整合的影响的有限现有证据，并确定了从当前实施工作中汲取的主要经验教训。《公共卫生年度回顾》第 45 卷的预计最终在线发布日期为 2024 年 4 月。有关修订后的估计，请参阅 http://www.annualreviews.org/page/journal/pubdates。