title: Cold-spotting: linking primary care and public health to create communities of solution.
abstract: By providing enhanced primary care and social services to patients with high utilization of expensive emergency and hospital care, there is evidence that their health can improve and their costs can be lowered. This type of "hot-spotting" improves the care of individual patients. It may be that these patients live in communities with disintegrated social determinants of health, little community support, and poor access to primary care. These "cold spots" in the community may be amenable to interventions targeted at linking primary care and public health at broader community and population levels. Building local communities of solution that address the individual and population may help decrease these cold spots, thereby eliminating the hot spots as well.
authors: Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO 80045, USA. Jack.Westfall@ucdenver.edu
authors: John M
authors: JM
authors: Westfall
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration / Q000639:trends; D003299:Cooperative Behavior; D005544:Forecasting; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000639:trends*; D006300:Health Services Misuse / Q000639:trends; D006301:Health Services Needs and Demand / Q000458:organization & administration* / Q000639:trends*; D006801:Humans; D033183:Interdisciplinary Communication; D009515:New Jersey; D010348:Patient Care Team / Q000458:organization & administration / Q000639:trends; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends*; D011635:Public Health Administration / Q000639:trends*; D012947:Social Work / Q000458:organization & administration* / Q000639:trends*