ArticleJournal of the American Board of Family Medicine : JABFM
Addressing Social Determinants of Health in a Clinic Setting: The WellRx Pilot in Albuquerque, New Mexico.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 3 of them syntheses that pooled it.
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Who cites it
95 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- How do existing HRSN assessment tools assess social needs for older adults? A systematic review.Frontiers in health services · 2026Pooled it
- Addressing social determinants of noncommunicable diseases in primary care: a systematic review.Bulletin of the World Health Organization · 2020Pooled it
- A systematic review of reasons for and against asking patients about their socioeconomic contexts.International journal for equity in health · 2019Pooled it
- A latent class analysis of clinical complexity: Secondary analysis of the collaboration leading to addiction treatment and recovery from other stresses (CLARO) randomized trial.Addiction (Abingdon, England) · 2026Trial
- Design of CLARO+ (Collaboration Leading to Addiction Treatment and Recovery from Other Stresses, Plus): A randomized trial of collaborative care to decrease overdose and suicide risk among patients with co-occurring disorders.Contemporary clinical trials · 2023Trial
- Perceived Mental Health and Socioeconomic Impacts of Testing Positive for COVID-19: Qualitative Findings From a Regional Sample in New Mexico.Journal of counseling and development : JCD · 2026Article
- Identifying caregiver-reported modifiable barriers to pediatric oncology clinical trial enrollment and participation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Assessing Unmet Social Needs in Multiple Sclerosis Care in Australia: A Qualitative Assessment of Feasibility, Barriers and Enablers.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Mental Health and Individual Resilience in Contexts of Social Vulnerability: Evidence from Rural Texas.Community mental health journal · 2026Article
- Article
- Applying a process mapping methodology to identify barriers and facilitators to social needs screener and medical-legal partnership integration into primary care facilities.Journal of clinical and translational science · 2026Article
- Performance of 2-stage health-related social needs screening using area-level measures.The American journal of managed care · 2025Article
- Article
- Identifying caregiver-reported modifiable barriers to pediatric oncology clinical trial enrollment and participation.Research square · 2025Article
- Italian cross-cultural adaptation of the EveryONE Social Needs Screening Tool of social determinants of health in primary care.Primary health care research & development · 2025Article
- Performance of 4 Methods to Assess Health-Related Social Needs.JAMA network open · 2025Article
- Use of Z-codes related to social determinants of health among adult inpatients in France: a nationwide study from 2014 to 2022.BMC public health · 2025Observational
- Article
- Patients' perspectives about sharing information with providers on social needs during pregnancy: a qualitative study.BMC health services research · 2025Article
- Integrating Social Needs into Health Care: An Implementation Science Perspective.Annual review of public health · 2025Review
35 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although it is known that the social determinants of health have a larger influence on health outcomes than health care, there currently is no structured way for primary care providers to identify and address nonmedical social needs experienced by patients seen in a clinic setting. We developed and piloted WellRx, an 11-question instrument used to screen 3048 patients for social determinants in 3 family medicine clinics over a 90-day period. Results showed that 46% of patients screened positive for at least 1 area of social need, and 63% of those had multiple needs. Most of these needs were previously unknown to the clinicians. Medical assistants and community health workers then offered to connect patients with appropriate services and resources to address the identified needs. The WellRx pilot demonstrated that it is feasible for a clinic to implement such an assessment system, that the assessment can reveal important information, and that having information about patients' social needs improves provider ease of practice. Demonstrated feasibility and favorable outcomes led to institutionalization of the WellRx process at a university teaching hospital and influenced the state department of health to require managed care organizations to have community health workers available to care for Medicaid patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.