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1.
J Urban Health ; 100(1): 16-28, 2023 02.
Article in English | MEDLINE | ID: mdl-36224486

ABSTRACT

Early in the pandemic, New York City's public hospital system partnered with multiple philanthropic foundations to offer an unconditional cash transfer program for low-income New Yorkers affected by COVID-19. The $1000 cash transfers were designed to help people meet their most immediate health and social needs and were incorporated into healthcare delivery and contact tracing workflows as a response to the public health emergency. To better understand program recipients' experiences, researchers conducted 150 telephone surveys with randomly sampled cash transfer recipients and 20 in-depth qualitative interviews with purposefully sampled survey participants. Survey participants were predominantly Latinx (87%) and women (65%). The most common reported uses of the $1000 were food and rent. Most participants (79%) reported that without the $1000 cash transfer they would have had difficulty paying for basic expenses or making ends meet, with specific positive effects reported related to food, housing, and ability to work. The majority of survey participants reported that receiving the cash assistance somewhat or greatly improved their physical health (83%) and mental health (89%). Qualitative interview results generally supported the survey findings.


Subject(s)
COVID-19 , Food Assistance , Humans , Female , Food Supply , Poverty , Food
2.
Health Aff (Millwood) ; 39(9): 1592-1596, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32673101

ABSTRACT

Addressing patients' social needs is key to helping them heal from coronavirus disease 2019 (COVID-19), preventing the spread of the virus, and reducing its disproportionate burden on low-income communities and communities of color. New York City Health + Hospitals is the city's single largest health care provider to Medicaid and uninsured patients. In response to the COVID-19 pandemic, NYC Health + Hospitals staff developed and executed a strategy to meet patients' intensified social needs during the COVID-19 pandemic. NYC Health + Hospitals identified food, housing, and income support as patients' most pressing needs and built programming to quickly connect patients to these resources. Although NYC Health + Hospitals was able to build on its existing foundation of strong social work support of patients, all health systems must prioritize the social needs of patients and their families to mitigate the damage of COVID-19. National and local leaders should accelerate change by developing robust policy approaches to redesign the social and economic system that reinforces structural inequity and exacerbates crises such as COVID-19.


Subject(s)
Coronavirus Infections/epidemiology , Delivery of Health Care/organization & administration , Health Services Accessibility/organization & administration , Pandemics/statistics & numerical data , Pneumonia, Viral/epidemiology , Poverty/statistics & numerical data , Quarantine/organization & administration , COVID-19 , Coronavirus Infections/prevention & control , Female , Health Personnel/organization & administration , Housing/organization & administration , Humans , Male , Needs Assessment , New York City , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Poverty/economics , Public Health , Social Support
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