Food as Medicine Collaborative

The San Francisco Health Network’s low-income patients bear a disproportionately high burden of food insecurity and health consequences such as hypertension and diabetes. Improving the availability and consumption of healthy and nutritious foods, including produce and whole grains, would have significant impacts on this public health challenge. According to a recent study led by researchers at UC San Francisco, HIV positive people who received healthy food and snacks for six months were more likely to follow their medication regimens. The study also found that people with type 2 diabetes were less depressed and less likely to make trade-offs between food and healthcare.
 
Food As Medicine seeks to bridge the divide between healthcare systems and the food community including the SF Marin Food Bank, farmers’ markets, and grocery stores. This partnership can transform and sustain the eating habits of low-income patients accessing healthcare services from community clinics in San Francisco. The collaboration intends to do this through the innovation of providing “food as medicine” through clinic-based food “pharmacies.” 

"As a doctor, it's alarming to me how often I hear from patients that they can't find or can't afford healthy foods, and how stressful it can be for them to make healthier choices. Food As Medicine is built on the understanding that not only can healthier food choices really aid in the management of chronic medical conditions and help patients see better outcomes, but that everyone – regardless of financial situation, location, or demographic – deserves access to healthy, nutritious, whole foods." - Dr. Rita Nguyen, San Francisco Department of Public Health 

Food pharmacies represent an opportunity for healthcare providers to engage and inspire patients around healthy eating to promote good health. Food pharmacies “fill prescriptions” written by doctors and prescribed to give patients access to healthy food.  Providing food in a medical setting reduces the stigma associated with receiving food aid. These pharmacies also support sustained nutritional behavior change by providing cooking instruction, recipe sharing, and nutritional counseling in addition to free, nutritious foods.
 
The Hellman Collaborative Change Initiative GROWTH grant enables the collaboration to scale their food pharmacy program across 18 community clinics in San Francisco reaching about 13,000 low-income patients.

The Collaboration

In 2013, Food as Medicine came together to engage healthcare as an active partner in tackling food insecurity and promote nutritional behavior change, two major determinants of health. Partners include: 
  • San Francisco Department of Public Health, Population Health Division
  • San Francisco Health Network, Primary Care
  • UCSF, Department of Medicine
  • San Francisco and Marin Food Bank
  • IDEO, Food Studio
  • Leah’s Pantry
  • EatSF
  • Project Open Hand
  • San Francisco Health Network, Patient and Family Advisory Program

The Problem

  • As many as 70% of low-income patients served by community clinics in the San Francisco Health Network are food insecure, lacking reliable access to affordable and nutritious food
  • Food insecurity is associated with higher rates of chronic health conditions including hypertension, high cholesterol, and diabetes
  • People connect food with pleasure and enjoyment, but healthy eating messaging often focuses on restriction