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Improving Access to and Equity of Care for People with Serious Illness
A View from the Safety Net: San Francisco Health Network Alice Hm Chen, MD, MPH Deputy Director and Chief Medical Officer, SFHN Professor of Medicine, UCSF
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Key Points Relationship of health and poverty Role of safety net
Vulnerabilities impacting care Promising interventions
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ENVIRONMENT - BEHAVIOR
Health Poverty Trap ACCESS TO CARE ENVIRONMENT - BEHAVIOR POVERTY POOR HEALTH Top 1% live longer than those in bottom 1% ♂︎ 15 ♀︎ 10 EDUCATION, EMPLOYMENT MEDICAL DEBT Khullar D, Chokshi DA. Health, Income, And Poverty: Where We Are And What Could Help,” Health Affairs Health Policy Brief, October 4, 2018.
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Safety Net Role INSTITUTE OF MEDICINE “Those providers that organize and deliver a significant level of health care and other health-related services to uninsured, Medicaid, and other vulnerable patients.” Kaiser Family Foundation, Medicaid in the United States. November 2018
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Multiplicity of Vulnerabilities
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LEP LFHL Multiplicity of Needs HOUSING Insurance food insecurity
Data courtesy of Laura Gottlieb
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Universal Access to Care
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Screening and Connection for Social Needs
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Addressing Food Insecurity
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Bridging the Digital Divide
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ACKNOWLEDGEMENTS Radawn Alcorn, MSW, LCSW Ben Lui, MD, MPH Rita Nguyen, MD Neda Ratanawongsa, MD, MPH Shoba Sadasivaiah, MD
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