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Clinician Experiences with Screening for Social Needs in Primary Care

Journal of the American Board of Family Medicine, 2018-05, Vol.31 (3), p.351-363 [Peer Reviewed Journal]

Copyright 2018 by the American Board of Family Medicine. ;ISSN: 1557-2625 ;EISSN: 1558-7118 ;DOI: 10.3122/jabfm.2018.03.170419 ;PMID: 29743219

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Title:
Clinician Experiences with Screening for Social Needs in Primary Care
Author: Tong, Sebastian T ; Liaw, Winston R ; Kashiri, Paulette Lail ; Pecsok, James ; Rozman, Julia ; Bazemore, Andrew W ; Krist, Alex H
Subjects: Adult ; Communication ; Female ; Health Services Needs and Demand - statistics & numerical data ; Health Services Needs and Demand - trends ; Humans ; Male ; Needs Assessment - statistics & numerical data ; Physicians, Primary Care - statistics & numerical data ; Primary Health Care - organization & administration ; Primary Health Care - statistics & numerical data ; Prospective Studies ; Quality of Life ; Social Determinants of Health ; Socioeconomic Factors ; Surveys and Questionnaires - statistics & numerical data ; Virginia ; Young Adult
Is Part Of: Journal of the American Board of Family Medicine, 2018-05, Vol.31 (3), p.351-363
Description: Despite clear evidence demonstrating the influence of social determinants on health, whether and how clinicians should address these determinants remain unclear. We aimed to understand primary care clinicians' experiences of administering a social needs screening instrument. Using a prospective, observational design, we identified patients living in communities with lower education and income seen by 17 clinicians from 12 practices in northern Virginia. Before office visits, patients completed social needs surveys, which probed about their quality of life, education, housing, finances, substance use, transportation, social connections, physical activity, and food access. Clinicians then reviewed the completed surveys with patients. Concurrently, clinicians participated in a series of learning collaboratives to consider how to address social needs as part of care and completed diary entries about how knowing the patient's social needs influenced care after seeing each patient. Out of a total of 123 patients, 106 (86%) reported a social need. Excluding physical activity, 71% reported a social need, although only 3% wanted help. Clinicians reported that knowing the patient had a social need changed care delivery in 23% of patients and helped improve interactions with and knowledge of the patient in 53%. Clinicians reported that assessing social needs is difficult and resource intensive and that there were insufficient resources to help patients with identified needs. Clinicians reported that knowing patients' social needs changed what they did and improved communication for many patients. However, more evidence is needed regarding the benefit of social needs screening in primary care before widespread implementation.
Publisher: United States
Language: English
Identifier: ISSN: 1557-2625
EISSN: 1558-7118
DOI: 10.3122/jabfm.2018.03.170419
PMID: 29743219
Source: Freely Accessible Journals
MEDLINE
Alma/SFX Local Collection

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Clinician Experiences with Screening for Social Needs in Primary Care

Copyright 2018 by the American Board of Family Medicine. ;ISSN: 1557-2625 ;EISSN: 1558-7118 ;DOI: 10.3122/jabfm.2018.03.170419 ;PMID: 29743219

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