Evidence map›Paper›PMID 32119804›Full record

ArticlePopulation health management2021

Initiating and Implementing Social Determinants of Health Data Collection in Community Health Centers.

Inga Gruß, Arwen Bunce, James Davis, Katie Dambrun, Erika Cottrell, Rachel Gold

Open access · greenAbstract read
In one paragraph

Article in Population health management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
11.6field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. How High-Performing Community Health Clinics Accomplish Social Risk Screening.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  7. Article
  8. Observational
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  11. Article
  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Inga GrußKaiser Permanente Center for Health Research, Science Programs Department, Portland, Oregon, USA.
Arwen BunceOCHIN, Inc., Portland, Oregon, USA.
James DavisKaiser Permanente Center for Health Research, Science Programs Department, Portland, Oregon, USA.
Katie DambrunOCHIN, Inc., Portland, Oregon, USA.
Erika CottrellOCHIN, Inc., Portland, Oregon, USA.
Rachel GoldKaiser Permanente Center for Health Research, Science Programs Department, Portland, Oregon, USA.
Kaiser Permanente Center for Health Research · USOchin · USOregon Health & Science University · US

Funding

ASCEND: ApproacheS to CHC ImplEmeNtation of SDH Data Collection and ActionR18DK114701 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GOLD, RACHEL · 2017 to 2021
$3.5M
NIDDK NIH HHS R18 DK114701
6 · The paper itself

Abstract

Successfully incorporating social determinants of health (SDH) screening into clinic workflows can help care teams provide targeted care, appropriate referrals, and other interventions to address patients' social risk factors. However, integrating SDH screening into clinical routines is known to be challenging. To achieve widespread adoption of SDH screening, we need to better understand the factors that can facilitate or hinder implementation of effective, sustainable SDH processes. The authors interviewed 43 health care staff and professionals at 8 safety net community health center (CHC) organizations in 5 states across the United States; these CHCs had adopted electronic health record (EHR)-based SDH screening without any external implementation support. Interviewees included staff in administrative, quality improvement, informatics, front desk, and clinical roles (providers, nurses, behavioral health staff), and community health workers. Interviews focused on how each organization integrated EHR-based SDH screening into clinic workflows, and factors that affected adoption of this practice change. Factors that facilitated effective integration of EHR-based SDH screening were: (1) external incentives and motivators that prompted introduction of this screening (eg, grant requirements, encouragement from professional associations); (2) presence of an SDH screening advocate; and (3) maintaining flexibility with regard to workflow approaches to optimally align them with clinic needs, interests, and resources. Results suggest that it is possible to purposefully create an environment conducive to successfully implementing EHR-based SDH screening. Approaching the task of implementing SDH screening into clinic workflows as understanding the interplay of context-dependent factors, rather than following a step-by-step process, may be critical to success in primary care settings.

Indexed as

Community Health CentersSocial Determinants of HealthAmbulatory Care FacilitiesElectronic Health RecordsHumansReferral and ConsultationUnited Statescommunity health centerselectronic health recordfacilitatorsimplementation of social determinants of health screening

Identifiers

PMID32119804
PMCPMC7875127
OpenAlexW3010199563

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.