Artair J Rogers1,2,3, Courtnee Hamity4, Adam L Sharp5,6, Ana H Jackson4, Adam B Schickedanz7. 1. Kaiser Permanente Southern California, Pasadena, CA, USA. arogers@healthleadsusa.org. 2. Health Leads, Boston, MA, USA. arogers@healthleadsusa.org. 3. Health Leads, Los Angeles, CA, USA. arogers@healthleadsusa.org. 4. Care Management Institute, Kaiser Permanente, Oakland, CA, USA. 5. Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, CA, USA. 6. Department of Emergency Medicine, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA. 7. Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Abstract
BACKGROUND: As more health care organizations integrate social needs screening and navigation programs into clinical care delivery, the patient perspective is necessary to guide implementation and achieve patient-centered care. OBJECTIVES: To examine patients' perceptions of whether social needs affect health and attitudes toward healthcare system efforts to screen for and address social needs. RESEARCH DESIGN: Multi-site, self-administered survey to assess (1) patient perceptions of the health impact of commonly identified social needs; (2) experience of social needs; (3) degree of support for a health system addressing social needs, including which social needs should be screened for and intervened upon; and (4) attitudes toward a health system utilizing resources to address social needs. Analyses were conducted using multivariable logistic regression models with clinic site cluster adjustment. SUBJECTS: Adult patients at seven primary care clinics within a large, integrated health system in Southern California. MAIN MEASURES: Survey measures of experience with, acceptability of, and attitudes toward clinical social determinants of health screening and navigation. KEY RESULTS: A total of 1161 patients participated, representing a 79% response rate. Most respondents (69%) agreed that social needs impact health and agreed their health system should ask about social needs (85%) and help address social needs (88%). Patients with social needs in the last year were more likely to (1) agree social needs impact health (OR 10.2, p < 0.001), (2) support their health system asking patients about social needs (OR 3.7, p < 0.001), and (3) support addressing patient social needs (OR 3.5, p < 0.001). Differences by social need history, gender, age, race, ethnicity, and education were found. CONCLUSIONS: Most patients at a large integrated health system supported clinical social needs screening and intervention. Differences in attitudes by social need history, gender, age, race, ethnicity, and education may indicate opportunities to develop more equitable, patient-centered approaches to addressing social needs.
BACKGROUND: As more health care organizations integrate social needs screening and navigation programs into clinical care delivery, the patient perspective is necessary to guide implementation and achieve patient-centered care. OBJECTIVES: To examine patients' perceptions of whether social needs affect health and attitudes toward healthcare system efforts to screen for and address social needs. RESEARCH DESIGN: Multi-site, self-administered survey to assess (1) patient perceptions of the health impact of commonly identified social needs; (2) experience of social needs; (3) degree of support for a health system addressing social needs, including which social needs should be screened for and intervened upon; and (4) attitudes toward a health system utilizing resources to address social needs. Analyses were conducted using multivariable logistic regression models with clinic site cluster adjustment. SUBJECTS: Adult patients at seven primary care clinics within a large, integrated health system in Southern California. MAIN MEASURES: Survey measures of experience with, acceptability of, and attitudes toward clinical social determinants of health screening and navigation. KEY RESULTS: A total of 1161 patients participated, representing a 79% response rate. Most respondents (69%) agreed that social needs impact health and agreed their health system should ask about social needs (85%) and help address social needs (88%). Patients with social needs in the last year were more likely to (1) agree social needs impact health (OR 10.2, p < 0.001), (2) support their health system asking patients about social needs (OR 3.7, p < 0.001), and (3) support addressing patient social needs (OR 3.5, p < 0.001). Differences by social need history, gender, age, race, ethnicity, and education were found. CONCLUSIONS: Most patients at a large integrated health system supported clinical social needs screening and intervention. Differences in attitudes by social need history, gender, age, race, ethnicity, and education may indicate opportunities to develop more equitable, patient-centered approaches to addressing social needs.
Entities:
Keywords:
patient Experience; patient attitudes; social determinants of health; social needs
Authors: Katrina Armstrong; Mary Putt; Chanita H Halbert; David Grande; Jerome Sanford Schwartz; Kaijun Liao; Noora Marcus; Mirar B Demeter; Judy A Shea Journal: Med Care Date: 2013-02 Impact factor: 2.983
Authors: Ana H Traylor; Julie A Schmittdiel; Connie S Uratsu; Carol M Mangione; Usha Subramanian Journal: J Gen Intern Med Date: 2010-06-23 Impact factor: 5.128
Authors: Seth A Berkowitz; Jean Terranova; Caterina Hill; Toyin Ajayi; Todd Linsky; Lori W Tishler; Darren A DeWalt Journal: Health Aff (Millwood) Date: 2018-04 Impact factor: 6.301
Authors: Corinna Koebnick; Annette M Langer-Gould; Michael K Gould; Chun R Chao; Rajan L Iyer; Ning Smith; Wansu Chen; Steven J Jacobsen Journal: Perm J Date: 2012
Authors: Steven M Albert; Polly McCracken; Thuy Bui; Janel Hanmer; Gary S Fischer; Jaishree Hariharan; Alton Everette James Journal: BMC Health Serv Res Date: 2022-10-22 Impact factor: 2.908
Authors: Cara C Lewis; Robert Wellman; Salene M W Jones; Callie Walsh-Bailey; Ella Thompson; Alphonse Derus; Andrea Paolino; John Steiner; Emilia H De Marchis; Laura M Gottlieb; Adam L Sharp Journal: J Family Med Prim Care Date: 2020-09-30
Authors: Daniel F Morse; Sahil Sandhu; Kate Mulligan; Stephanie Tierney; Marie Polley; Bogdan Chiva Giurca; Siân Slade; Sónia Dias; Kamal R Mahtani; Leanne Wells; Huali Wang; Bo Zhao; Cristiano Emanuel Marta De Figueiredo; Jan Joost Meijs; Hae Kweun Nam; Kheng Hock Lee; Carolyn Wallace; Megan Elliott; Juan Manuel Mendive; David Robinson; Miia Palo; Wolfram Herrmann; Rasmus Østergaard Nielsen; Kerryn Husk Journal: BMJ Glob Health Date: 2022-05
Authors: Katia Bruxvoort; Jeff Slezak; Runxin Huang; Bradley Ackerson; Lina S Sy; Lei Qian; Kristi Reynolds; William Towner; Zendi Solano; Cheryl Mercado; Randall Hyer; Robert Janssen; Steven J Jacobsen Journal: JAMA Netw Open Date: 2020-11-02
Authors: Emilia H De Marchis; Danielle Hessler; Caroline Fichtenberg; Eric W Fleegler; Amy G Huebschmann; Cheryl R Clark; Alicia J Cohen; Elena Byhoff; Mark J Ommerborn; Nancy Adler; Laura M Gottlieb Journal: JAMA Netw Open Date: 2020-10-01
Authors: Rachel L Berkowitz; Linh Bui; Zijun Shen; Alice Pressman; Maria Moreno; Stephanie Brown; Anne Nilon; Chris Miller-Rosales; Kristen M J Azar Journal: BMC Fam Pract Date: 2021-12-24 Impact factor: 2.497