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Medical-Financial Partnerships: Cross-Sector Collaborations Between Medical and Financial Services to Improve Health

机译:医疗金融合作伙伴关系:医疗和金融服务之间的跨部门合作,以改善健康

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Financial stress is the root cause of many adverse health outcomes among poor and low-income children and their families, yet few clinical interventions have been developed to improve health by directly addressing patient and family finances. Medical-Financial Partnerships (MFPs) are novel cross-sector collaborations in which health care systems and financial service organizations work collaboratively to improve health by reducing patient financial stress, primarily in low-income communities. Financial services provided by MFPs include individually tailored financial coaching, free tax preparation, budgeting, debt reduction, savings support, and job assistance, among others. MFPs have been shown to improve finances and, in the few existing studies available, health outcomes. We describe the rationale for MFPs and examine 8 established MFPs providing financial services under 1 of 3 models: full-scope on-site service partnerships; targeted on site service partnerships; and partnerships facilitating referral to off-site financial services. The services MFPs provide complement clinical social risk screening and navigation programs by preventing or repairing common financial problems that would otherwise lead to poverty-related social needs, such as food and housing insecurity. We identify common themes, as well as unique strengths and solutions to a variety of implementation challenges MFPs commonly encounter. Given that the financial circumstances and health outcomes of socially marginalized patients and families are closely linked, MFPs represent a promising and feasible cross-sector service delivery approach and a new model for upstream health care to promote synergistic financial well-being and health improvement.
机译:财务压力是贫困和低收入儿童及其家庭中许多不利健康结果的根本原因,但通过直接解决患者和家庭财务,已经开发了很少的临床干预措施来改善健康。医疗金融合作伙伴关系(MFP)是新的跨领域合作,在哪些跨部门合作中,通过减少患者财务压力,主要是在低收入社区的患者财务压力方面进行健康的合作。 MFP提供的金融服务包括单独量身定制的金融教练,免费税务准备,预算,债务减少,储蓄支持和工作援助等。已显示MFPS以改善财务状况,并在少数现有的研究中提供健康结果。我们描述了MFP的理由,并审查了8个建立的MFP,提供3个型号中的金融服务:全部范围内的服务伙伴关系;针对现场服务伙伴关系;和促进转介到场外金融服务的伙伴关系。该服务MFP通过预防或修复否则将导致与贫困有关的社会需求(如食物和住房不安全)而导致的普通财务问题提供补充临床社会风险筛查和导航计划。我们确定了共同主题,以及独特的优势和解决方案,以各种实施挑战MFP常见。鉴于社会边缘化患者和家庭的财务情况和健康结果密切相关,MFPS代表了一个有前途和可行的跨部门服务交付方法,以及上游医疗保健的新模式,以促进协同融合福祉和健康改善。

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