ArticleAnnals of family medicine2018
Association of the Social Determinants of Health With Quality of Primary Care.
Article in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 75 citations in OpenAlex.
- Social determinants of health diagnosis codes in in-person and telehealth visits during pregnancy in the United States, 2020-2025: a repeated cross-sectional and case-control study.BMC pregnancy and childbirth · 2026Article
- Implementing the screening for poverty and related social determinants and intervening to improve knowledge of and links to resources (SPARK) in primary care clinics across Canada.Family practice · 2026Article
- Dietitians as System Builders: Advancing Equity, Sustainability and Health in Community Nutrition and Primary Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Primary care provider and clinic staff perspectives on the collection of demographic and social needs data in primary care clinics across five Canadian provinces.Family medicine and community health · 2026Article
- Disparities in Medicare Annual Wellness Visits After a Systemwide Quality Improvement Initiative: A Serial Cross-sectional Analysis.Journal of general internal medicine · 2025Article
- Daily Pleasure and Difficulties among Older Patients: Primary Care Setting in Japan.JMA journal · 2025Article
- Social Determinants of Health and Injury Among Children.JAMA network open · 2025Article
- Perspectives From Patients Using a Food Pantry in a Family Medicine Residency Clinic: A Qualitative Study.Family medicine · 2024Article
- Effect of GP visits in the compliance of preventive services: a cross-sectional study in Europe.BMC primary care · 2024Article
- How Can Clinical Communication Alleviate the Negative Impacts of Social Determinants of Health?: A Secondary HINTS 6 Dataset Analysis.Journal of patient experience · 2024Article
- Quality Measurement in Shanghai From a Global Perspective; A Response to Recent Commentaries.International journal of health policy and management · 2024Article
- Article
- Family physicians' moral distress when caring for patients experiencing social inequities: a critical narrative inquiry in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Development of an individual index of social vulnerability that predicts negative healthcare events: a proposed tool to address healthcare equity in primary care research and practice.International journal for equity in health · 2023Article
- Article
- Assessing Alignment of Patient and Clinician Perspectives on Community Health Resources for Chronic Disease Management.Healthcare (Basel, Switzerland) · 2022Article
- Examining the Association of Food Insecurity and Being Up-to-Date for Breast and Colorectal Cancer Screenings.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Associations among social needs, health and healthcare utilization, and desire for navigation services among US Medicaid beneficiaries with type 2 diabetes.Health & social care in the community · 2022Article
- A Scoping Review and Narrative Synthesis Comparing the Constructs of Social Determinants of Health and Social Determinants of Mental Health: Matryoshka or Two Independent Constructs?Frontiers in psychiatry · 2022Article
- Patient and Staff Satisfaction and Experience While Transforming Health Center Systems.Risk management and healthcare policy · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn primary care, there is increasing recognition of the difficulty of treating patients' immediate health concerns when their overall well-being is shaped by underlying social determinants of health. We assessed the association of social complexity factors with the quality of care patients received in primary care settings.
methodsEleven social complexity factors were defined using administrative data on poverty, mental health, newcomer status, and justice system involvement from the Manitoba Population Research Data Repository. We measured the distribution of these factors among primary care patients who made at least 3 visits during 2010-2013 to clinicians in Manitoba, Canada. Using generalized linear mixed modeling, we measured 26 primary care indicators to compare the quality of care received by patients with 0 to 5 or more social complexity factors.
resultsAmong 626,264 primary care patients, 54% were living with at least 1 social complexity factor, and 4% were living with 5 or more. Social complexity factors were strongly associated with poorer outcomes with respect to primary care indicators for prevention (eg, breast cancer screening; odds ratio [OR] = 0.77; 99% CI, 0.73-0.81), chronic disease management (eg, diabetes management; OR = 0.86; 99% CI, 0.79-0.92), geriatric care (eg, benzodiazepine prescriptions; OR = 1.63; 99% CI, 1.48-1.80), and use of health services (eg, ambulatory visits; OR = 1.09; 99% CI, 1.08-1.09).
conclusionsLinking health and social data demonstrates how social determinants are associated with primary care service provision. Our findings provide insight into the social needs of primary care populations, and may support the development of focused interventions to address social complexity in primary care.
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Registered trials
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.