Community Health Division (Dr Gordon) and Office of Health Equity, Community Health Division (Mss Nguyen and Agrawal), Florida Department of Health-Hillsborough, Tampa, Florida.
J Public Health Manag Pract. 2022;28(2):E441-E445. doi: 10.1097/PHH.0000000000001423.
The social determinants of health impact the health outcomes of local public health agency clients. This report shows how the Florida Department of Health in Hillsborough County (DOH) sought to address this for its clients.
This midstream intervention identified individual DOH client needs and navigated clients to community resources to address these social needs.
During the 2019 program, 768 DOH clients were screened, with 77% reporting having 1 or more social needs.
Staff and clients identified various challenges clients faced navigating resources on their own, and the value in having resource navigators within the local public health agency.
Program findings demonstrated alignment with priorities in the Community Health Assessment, leading to engagement of specific partners and planning for population-level policy interventions. Social needs screenings present a unique opportunity for local public health agencies to improve the circumstances of clients and implement health equity approaches in their communities.
健康的社会决定因素影响地方公共卫生机构客户的健康结果。本报告展示了佛罗里达州希尔斯伯勒县卫生署（DOH）如何为其客户解决这一问题。
这种中游干预措施确定了个别 DOH 客户的需求，并引导客户利用社区资源来解决这些社会需求。
在 2019 年的项目中，对 768 名 DOH 客户进行了筛查，其中 77%的客户报告有 1 个或更多的社会需求。
工作人员和客户发现客户在自行寻找资源时面临各种挑战，以及在地方公共卫生机构中配备资源导航员的价值。
项目结果与社区健康评估中的优先事项一致，促使特定合作伙伴参与并规划针对人口层面的政策干预措施。社会需求筛查为地方公共卫生机构提供了一个独特的机会，可以改善客户的环境，并在其社区实施健康公平方法。
