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Book Cover
Author Chandra, Anita.

Title District of Columbia community health needs assessment / Anita Chandra, Janice C. Blanchard, Teague Ruder
Published Santa Monica, CA : RAND, 2013
Online access available from:
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Description 1 online resource (xxiii, 94 pages) : color illustrations
Summary The District of Columbia Healthy Communities Collaborative (DCHCC) represents a unique collaboration among D.C.-area hospitals and federally qualified health centers. In response to its community commitment and Affordable Care Act requirements, DCHCC set forth to conduct a community health needs assessment (CHNA) that can guide decisions about where and how to allocate resources and implement appropriate health interventions for the population it serves. The CHNA described in this report includes analysis of existing demographic, health status, and hospital service use data, as well as hospital and emergency department discharge data. The analysis of this quantitative data is complemented by an analysis of current stakeholder perspectives regarding health needs, as well as health policy and investment priorities. This CHNA demonstrates the persistence of many issues identified in prior CHNAs: asthma, obesity, mental health, and sexual health. Despite high insurance rates, health care services are not evenly distributed by ward, creating significant challenges to access. There is a need to expand these services, as well as improve care coordination between health and social services to help residents navigate the system and obtain the services they need. In addition to these intervention pathways by priority health condition, we identified emerging issues that require further investigation, including declines in coronary atherosclerosis discharges and a spike in stress-related diagnoses (headaches and back pain) and associated alcohol-related issues. This may be related to a host of factors, including economic downturn and demographic transitions in the District
Notes "RAND Health."
Bibliography Includes bibliographical references (pages 93-94)
Notes Print version
Subject Health surveys -- Washington (D.C.)
Health Services Needs and Demand.
Health Behavior.
Health Care Rationing.
Health Status.
Socioeconomic Factors.
Washington (D.C.) -- Statistics, Medical.
District of Columbia.
Genre/Form Statistics.
Form Electronic book
Author Blanchard, Janice C.
Ruder, Teague.
District of Columbia Healthy Communities Collaborative.
RAND Health.
Rand Corporation.
ISBN 0833082000 (electronic bk.)
9780833082008 (electronic bk.)