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Health care stakeholders have long recognized that factors outside the health care system-the social determinants of health-influence an individual’s health and well-being. Many hospitals and health systems are working to navigate the challenges of effectively linking community and clinical services to improve health outcomes in the long term.

The Deloitte Center for Health Solutions conducted a nationally representative online survey of about 300 hospitals and health systems to identify their current health-related social needs activities and investments and their potential future efforts. To better understand how hospitals and health systems may be operating in the larger health care ecosystem and the challenges they face, they also interviewed representatives of hospitals, health plans, and nonprofit community organizations.