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

Sonika Bhatnagar (), John Lovelace, Ray Prushnok, Justin Kanter, Joan Eichner, Dan LaVallee and James Schuster
Additional contact information
Sonika Bhatnagar: UPMC Insurance Services Division, 600 Grant Street, Pittsburgh, PA 15219, 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

IJERPH, 2023, vol. 20, issue 14, 1-11

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.

Keywords: housing insecurity; affordable housing; health outcomes; health inequities; health-related social needs; healthcare systems; community-based organizations (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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