ArticleAnnals of family medicine2018
Adoption of Social Determinants of Health EHR Tools by Community Health Centers.
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 155 papers, 5 of them syntheses that pooled it.
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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
155 citing papers in PubMed, 5 syntheses or guidelines pooled it, 244 citations in OpenAlex.
- The Paradoxes of Social Care: Reframing Apparent Conflicts.Annals of family medicine · 2026Pooled it
- 2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic Syndrome: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2026Guideline
- A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023Pooled it
- The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps.Journal of the National Medical Association · 2023Pooled it
- Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives.Population health management · 2023Pooled it
- Social Risk-Informed Decision Support and Blood Pressure Control in a Primary Care Cluster Randomized Controlled Trial.Annals of family medicine · 2026Trial
- Multi-Sector Assessment and Client-Perception of Social Need at Long-Term Follow-Up of a Group-Randomized Trial of Community-Engaged Collaborative Care for Adults with Depression.International journal of environmental research and public health · 2022Trial
- Effects of In-Person Navigation to Address Family Social Needs on Child Health Care Utilization: A Randomized Clinical Trial.JAMA network open · 2020Trial
- Assessing social determinants of health needs in newly diagnosed gynecologic oncology patients and their relationship with social support and stress levels.Gynecologic oncology reports · 2026Article
- Income Security Health Promotion: Addressing Patients' Unmet Income Needs in a Toronto Family Practice, a Qualitative Study.International journal of social determinants of health and health services · 2026Article
- Experiences of Social Risk Screening in the Safety-Net Among Patients with Mental Health Needs.Journal of general internal medicine · 2026Article
- Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers.Journal of general internal medicine · 2026Article
- Article
- Comparing Care Coordination and Food Assistance Referrals to Improve Diabetes Outcomes: A Cohort Study.Journal of general internal medicine · 2026Article
- Co-designing an Outpatient Clinical Decision Support Prototype for Managing Social Risks in Patients Living with Dementia.Applied clinical informatics · 2026Article
- The global cardiovascular-liver-metabolic syndemic: epidemiology, trends and challenges.Nature reviews. Cardiology · 2026Review
- Identifying and supporting trafficked individuals: provider and community organization perspectives on existing sociotechnical approaches.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Evaluating Redundancy and Biases in EHR Social Determinants of Health Data Screening.medRxiv : the preprint server for health sciences · 2026Article
- The ADVANCE Clinical Research Network Past, Present, and Future: Accelerating Partnerships for Patient-Centered Research in Community-based Primary Care Settings.Medical care · 2026Article
- Performance of 2-stage health-related social needs screening using area-level measures.The American journal of managed care · 2025Article
95 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 4 institutions in 1 country.
Funding
Abstract
purposeThis pilot study assessed the feasibility of implementing electronic health record (EHR) tools for collecting, reviewing, and acting on patient-reported social determinants of health (SDH) data in community health centers (CHCs). We believe it is the first such US study.
methodsWe implemented a suite of SDH data tools in 3 Pacific Northwest CHCs in June 2016, and used mixed methods to assess their adoption through July 2017. We modified the tools at clinic request; for example, we added questions that ask if the patient wanted assistance with SDH needs.
resultsSocial determinants of health data were collected on 1,130 patients during the study period; 97% to 99% of screened patients (n = 1,098) had ≥1 SDH need documented in the EHR, of whom 211 (19%) had an EHR-documented SDH referral. Only 15% to 21% of patients with a documented SDH need indicated wanting help. Examples of lessons learned on adoption of EHR SDH tools indicate that clinics should: consider how to best integrate tools into existing workflow processes; ensure that staff tasked with SDH efforts receive adequate tool training and access; and consider that timing of data entry impacts how and when SDH data can be used.
conclusionsOur results indicate that adoption of systematic EHR-based SDH documentation may be feasible, but substantial barriers to adoption exist. Lessons from this study may inform primary care providers seeking to implement SDH-related efforts, and related health policies. Far more research is needed to address implementation barriers related to SDH documentation in EHRs.
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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.