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A Novel Framework to Address the Complexities of Housing Insecurity and Its Associated Health Outcomes and Inequities: “Give, Partner, Invest”

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  • Sonika Bhatnagar

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA
    Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA)

  • John Lovelace

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA)

  • Ray Prushnok

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Justin Kanter

    (UPMC Center for High-Value Health Care, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Joan Eichner

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • Dan LaVallee

    (UPMC Center for Social Impact, 600 Grant Street, 40th Floor, Pittsburgh, PA 15219, USA)

  • James Schuster

    (UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, USA)

Abstract

The association between housing insecurity and reduced access to healthcare, diminished mental and physical health, and increased mortality is well-known. This association, along with structural racism, social inequities, and lack of economic opportunities, continues to widen the gap in health outcomes and other disparities between those in higher and lower socio-economic strata in the United States and throughout the advanced economies of the world. System-wide infrastructure failures at municipal, state, and federal government levels have inadequately addressed the difficulty with housing affordability and stability and its associated impact on health outcomes and inequities. Healthcare systems are uniquely poised to help fill this gap and engage with proposed solutions. Strategies that incorporate multiple investment pathways and emphasize community-based partnerships and innovation have the potential for broad public health impacts. In this manuscript, we describe a novel framework, “Give, Partner, Invest,” which was created and utilized by the University of Pittsburgh Medical Center (UPMC) Insurance Services Division (ISD) as part of the Integrated Delivery and Finance System to demonstrate the financial, policy, partnership, and workforce levers that could make substantive investments in affordable housing and community-based interventions to improve the health and well-being of our communities. Further, we address housing policy limitations and infrastructure challenges and offer potential solutions.

Suggested Citation

  • Sonika Bhatnagar & John Lovelace & Ray Prushnok & Justin Kanter & Joan Eichner & Dan LaVallee & James Schuster, 2023. "A Novel Framework to Address the Complexities of Housing Insecurity and Its Associated Health Outcomes and Inequities: “Give, Partner, Invest”," IJERPH, MDPI, vol. 20(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:14:p:6349-:d:1192155
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    References listed on IDEAS

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