Hacke, R., Deane, K.G., & Schwarz, D. (2017, March). Improving community health by strengthening community investment. Cambridge, MA: Center for Community Investment.


This brief examines how community investment community Investment, as a sector, positions itself to confront social determinants of health deficiencies that are the result of market failures. The authors conducted hundreds of interviews with stakeholders from community organizations, government agencies, foundations, banks, and nonprofits. Additionally, a literature review was conducted that looked more broadly at social determinants of health, how hospitals were fulfilling their anchor mission through procurement and recruitment, as well as investment, and how population health initiatives were engaging hospitals in the communities outside their clinic walls. The authors found that health institutions utilized a wide variety of strategies to invest in improving social determinants of health in their communities. They used a range of resources, selected a variety of types of investment vehicles, targeted diverse interventions, and partnered with a range of other organizations, from community groups and nonprofits to other anchors, foundations, and local government. In this paper, eight case studies of pioneering institutions engaging in community investment are provided.



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