One of the most important public health findings over the last several decades has been that there are a number of factors, beyond medical care, which influence health status and contribute to premature mortality. Of these factors, social circumstances and the physical environment (particularly the home) especially impact an individual’s health.

Housing takes on even greater importance for older Americans since they spend a significant portion of their day in this setting. Ensuring a safe, age-friendly home and utilizing the home as a potential site of care for seniors should be seen as important policy objectives to support care management.

By 2030, 74 million Americans, representing more than 20 percent of the overall population, will be 65 years of age or more. Absent a comprehensive and sustained national response, the well-being and safety of millions of older Americans will be jeopardized by the following realities: increased demand for expensive long-term services and supports (LTSS), a high prevalence of chronic disease, grossly inadequate retirement savings, and a severe undersupply of affordable and suitable senior housing.

One set of possible solutions to these challenges requires greater integration of America’s health care and housing systems. A growing body of evidence is showing that more tightly linking health care with the home setting can reduce the costs borne by the health care system.

“Ignatius Tsang, an advocate for bringing healthcare into underserved communities has met with San Francisco’s mayor’s office’s Director of Housing and Director of Community to promote the inclusion of healthcare components in the program for housing projects in communities where there is a need for more Dental, Behavioral, and/or Medical Healthcare services. Ignatius has asked the Mayor’s office to consider including Healthcare as a programmatic requirement in future and appropriate developer RFP.”

Healthcare Providers

Keeping your members healthy will lower your operating costs. Integrate outpatient healthcare facilities into housing, residential neighborhoods, or locate them along the path of the members’ daily living (grocery, drug store, laundry, etc.) will increase convenient access that could keep minor health issues from becoming acute.

City Agencies

For those who has no means of private transportation, difficult access to healthcare facilities usually leads to no healthcare, and that will develop into acute conditions, which will burden the City’s Emergency Department. Healthcare is a major component of a wellness community, especially for the poor, the underserved, and the unserved.

Housing Developers

Integrate Healthcare facilities with Senior Housing, Affordable Housing, and Homeless Shelters are beneficial to the residents because they do not have to travel far to access healthcare and beneficial to the developer because the residents can take care of themselves and their place.

Realtors / Real Estate Brokers

Healthcare providers are good tenants. Their business plan is usually long term. They require long term lease to amortize their investments, which makes them stable tenants, and their credits are usually sound. They have to customize the space for their use. They will take care of the building because they will protect their investments.

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