Marc Shi is a resident in medicine at Albert Einstein College of Medicine, in New York City.
Abigail Baum is a graduate student in the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, in Baltimore, Maryland.
Health Aff (Millwood). 2020 Apr;39(4):622-630. doi: 10.1377/hlthaff.2019.00853.
While there is increasing attention to the ways in which safe and affordable housing may promote improved health, less work has focused on the role of the Low-Income Housing Tax Credit (LIHTC) program-the largest source of affordable housing in the United States. Through qualitative interviews, we examined the perspectives of diverse stakeholders in the housing sector on the opportunities and obstacles involved in including health-related criteria in LIHTC funding decisions. Our interviews revealed a growing desire within the housing sector to address health needs but, with the exception of green building criteria, a lack of clear standards on best practices. Stakeholders noted the challenges of effectively partnering with local health institutions, the need to develop sustainable payment mechanisms for health-related services, and the importance of locating developments near health-promoting resources. By describing mechanisms for integrating health services into the affordable housing infrastructure, this study helps lay the groundwork for the development of cross-sector partnerships.
虽然越来越多的人关注安全且负担得起的住房如何促进健康状况的改善，但很少有人关注低收入住房税收抵免（LIHTC）计划的作用——该计划是美国提供负担得起的住房的最大来源。通过定性访谈，我们研究了住房部门的不同利益相关者对将与健康相关的标准纳入 LIHTC 资金决策中所涉及的机会和障碍的看法。我们的访谈显示，住房部门越来越希望解决健康需求，但除了绿色建筑标准外，缺乏关于最佳实践的明确标准。利益相关者指出，与当地卫生机构有效合作的挑战，为与健康相关的服务制定可持续的支付机制的必要性，以及将开发项目建在促进健康资源附近的重要性。通过描述将健康服务纳入经济适用房基础设施的机制，本研究为跨部门合作的发展奠定了基础。
