Table 2.

Activities for Integrating Social Care Into the Delivery of Health Care

ActivityDefinitionTransportation-Related Example
AwarenessActivities that identify the social risks and assets of defined patients and populations; the foundation on which all other activities are builtAsk people about their access to transportation
AdjustmentActivities that focus on altering clinical care to accommodate identified social barriersReduce the need for in-person health care appointments by using other options such as telehealth appointments
AssistanceActivities that reduce social risk by providing assistance in connecting patients with relevant social care resourcesProvide transportation vouchers so that patients can travel to health care appointments; vouchers can be used for ride-sharing services or public transit
AlignmentActivities undertaken by health care systems to understand existing social care assets in the community, organize them to facilitate synergies, and invest in and deploy them to positively affect health outcomesInvest in community ride-sharing or time-bank programs
AdvocacyActivities whereby health care organizations work with partner social care organizations to promote policies that facilitate the creation and redeployment of assets or resources to address health and social needsWork to promote policies that fundamentally change the transportation infrastructure within the community
  • Note: Reproduced with permission from the National Academy of Sciences, Courtesy of the National Academies Press, Washington, DC. National Academies of Sciences, Engineering, and Medicine. 2019. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health.