From Mandate to Meaning: A Health Equity Implementation Framework and Knowledge-to-Action-Informed Qualitative Study of Health-Related Social Needs Implementation
Rachel P. Zimmer, Camelia Singletary, Aylin Aguilar, Emily R. Haines, Allison Chandler, Amresh Hanchate, Kristie Foley, Ashley Strahley, Marc Caruana, Sarah A. Birken · 2025
Read From Mandate to Meaning: A Health Equity Implementation Framework and Knowledge-to-Action-Informed Qualitative Study of Health-Related Social Needs Implementation by Rachel P. Zimmer, Camelia Singletary, Aylin Aguilar, Emily R. Haines, Allison Chandler, Amresh Hanchate, Kristie Foley, Ashley Strahley, Marc Caruana, Sarah A. Birken (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12745532.txt.
Description
Rachel Zimmer and co-authors study how a multistate health system rolled out screening for social needs, in a 2025 paper. Hunger, housing strain, transport gaps, and money stress all shape health, and mandates now push clinics to ask. Turning a mandate into daily practice is the hard part.
Twenty-three leaders, clinicians, navigators, and community health workers described the early rollout. Staff reported disjointed workflows, unclear referral roles, and distress when screens surfaced needs the system could not meet. Community health workers emerged as bridges to patients yet stayed poorly integrated. Two implementation frameworks structure the lessons for other systems.
Catalog record
| CREATOR | Rachel P. Zimmer, Camelia Singletary, Aylin Aguilar, Emily R. Haines, Allison Chandler, Amresh Hanchate, Kristie Foley, Ashley Strahley, Marc Caruana, Sarah A. Birken |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 62 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |