ArticleThe Permanente journal2018
Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey.
Article in The Permanente journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation.American journal of preventive medicine · 2022Pooled it
- Predictors of Counseling Participation Among Low-Income People Offered an Integrated Intervention Targeting Financial Distress and Tobacco Use.Prevention science : the official journal of the Society for Prevention Research · 2023Trial
- Integrating Financial Coaching and Referrals into a Smoking Cessation Program for Low-income Smokers: a Randomized Waitlist Control Trial.Journal of general internal medicine · 2022Trial
- Bridge to Health/Puente a la Salud: a pilot randomized trial to address diabetes self-management and social needs among high-risk patients.Translational behavioral medicine · 2022Trial
- Prevalence and Impact of Having Multiple Barriers to Medication Adherence in Nonadherent Patients With Poorly Controlled Cardiometabolic Disease.The American journal of cardiology · 2020Trial
- Exploring Social Determinants of Health in Primary Ciliary Dyskinesia.Pediatric pulmonology · 2026Article
- Potential for Bias in Social Needs Data Collection and Screening Activities in Health Care Settings.JAMA health forum · 2026Article
- Trajectories of Recovery after ACutE and cRitical illness (TRACER): a prospective observational study protocol.BMJ open · 2025Article
- Optimizing the community resource specialist to address social needs in primary care: results from a pragmatic quality improvement evaluation.BMC primary care · 2025Article
- Feeding the Need: A Study on Food Security Among People With Cystic Fibrosis in Turkey.Pediatric pulmonology · 2025Article
- Integrating Social Needs into Health Care: An Implementation Science Perspective.Annual review of public health · 2025Review
- Social Risk at Individual vs Neighborhood Levels and Health Care Use in Medicaid Enrollees.JAMA network open · 2025Article
- Measuring Patient Experience to Promote Health Equity: Development and Validation of the Patient Experience of Social Needs Screening Questionnaire.Health equity · 2025Article
- Article
- Social Risks and Health Care Use in Medically Complex Patients.JAMA network open · 2024Article
- Association of Patient-Reported Social Needs with Emergency Department Visits and Hospitalizations Among Federally Qualified Health Center Patients.Journal of general internal medicine · 2024Article
- Natural language processing to identify social determinants of health in Alzheimer's disease and related dementia from electronic health records.Health services research · 2023Article
- Comparison of SIREN social needs screening tools and Simplified Omaha System Terms: informing an informatics approach to social determinants of health assessments.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Digital Health App to Address Disparate HIV Outcomes Among Black Women Living in Metro-Atlanta: Protocol for a Multiphase, Mixed Methods Pilot Feasibility Study.JMIR research protocols · 2023Article
- Implementation planning for equitable tobacco treatment services: a mixed methods assessment of contextual facilitators and barriers in a large comprehensive cancer center.Translational behavioral medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextKaiser Permanente's Care Management Institute created a screening tool, Your Current Life Situation (YCLS), which primarily is used to identify social needs for populations at risk of high health care utilization.
objectiveThis frontline improvement project was designed to address key stakeholder concerns about implementing universal screening for social needs using the YCLS in a primary care clinic.
methodsI conducted a rapid stakeholder analysis through informal conversations to identify the most important concerns. Four Plan-Do-Study-Act cycles were conducted to answer stakeholder questions and address concerns.
resultsStakeholders expressed concerns including YCLS length and low screening acceptability and the possibility that too few or too many patients may have social needs. Throughout the project's duration, 125 office visits occurred and 111 patients were screened. Among the patients for whom findings were positive, 27% requested help. Of the 14 patients who were not screened, only 1 patient opted out of screening. Practitioners and medical assistants stated that administration of the YCLS screening tool did not disrupt clinic workflow.
conclusionBy using a frontline improvement approach, these investigators could answer questions and address concerns most important to local operational stakeholders when implementing screening for social needs. When practitioners conduct universal social needs screening and more fully understand social needs prevalence in a primary care clinic, resources can be tailored more effectively to accommodate patient needs.
Indexed as
Identifiers
What OpenQuestion holds
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.