ArticleClinical pediatrics2020
Integrating Social Needs Screening and Community Health Workers in Primary Care: The Community Linkage to Care Program.
Article in Clinical pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06925776 (Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization- the CHOOSE Home Trial), which is not on this map. Cited by 43 papers, 5 of them syntheses that pooled it.
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.
Community Health Workers in an Interdisciplinary Outpatient CKD Clinic to Optimize Social Care Navigation, Patient Engagement, and Home Dialysis Utilization- the CHOOSE Home Trial
Who cites it
43 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Collecting and using social needs data in health settings: a systematic review of the literature on health service utilization and costs.BMC health services research · 2025Pooled it
- Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation.American journal of preventive medicine · 2022Pooled it
- Pooled it
- Pooled it
- Screening and Referral Care Delivery Services and Unmet Health-Related Social Needs: A Systematic Review.Preventing chronic disease · 2021Pooled it
- Development of a statewide network hub for screening, referral, and enrollment into food as medicine programs across Kentucky.Frontiers in public health · 2024Trial
- Return on investment of community health workers in the United States: a systematic review.Lancet regional health. Americas · 2026Article
- Veterans' Experiences with a Social Need Intervention.Journal of general internal medicine · 2026Article
- A Health Navigator intervention to address the health-related social needs of caregivers of hospitalised children in an Australian inpatient setting: a mixed-methods feasibility study.BMC health services research · 2026Article
- Feasibility study of a screening decision tool for allocating adults into food is medicine programs as an effective approach to target clinical and dietary outcomes among rural and urban adults.Frontiers in public health · 2026Article
- New Pathways to Health Equity: How Implementation Science Can Lead Global Learning to Transform US Healthcare.Annals of global health · 2026Article
- Fewer screens, greater needs: housing insecurity and healthcare costs for transgender patients in a safety-net system.Health affairs scholar · 2026Article
- Integration of Screening and Referral Tools for Social Determinants of Health and Modifiable Lifestyle Factors in the Epic Electronic Health Record System: Scoping Review.Journal of medical Internet research · 2025Article
- Integrating Social Needs into Health Care: An Implementation Science Perspective.Annual review of public health · 2025Review
- Community health workers supporting emerging adults with sickle cell disease.Health care transitions · 2025Article
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Community health worker perspectives: examining current responsibilities and strategies for success.Archives of public health = Archives belges de sante publique · 2024Article
- Advancing social care integration in health systems with community health workers: an implementation evaluation based in Bronx, New York.BMC primary care · 2024Article
- Contextual Factors Relevant to Implementing Social Risk Factor Screening and Referrals in Cancer Survivorship: A Qualitative Study.Preventing chronic disease · 2024Article
- Impact of social disparities on 10 year survival rates in paediatric cancers: a cohort study.Lancet regional health. Americas · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
Clinic-based social needs screening has been associated with increased access to social services and improved health outcomes. Using a pragmatic study design in an urban pediatric practice, we used logistic regression to identify factors associated with successful social service uptake. From December 2017 to November 2018, 4948 households were screened for social needs, and 20% self-reported at least one. Of the 287 households with unmet needs who were referred and interested in further assistance, 43% reported successful social service uptake. Greater than 4 outreach encounters (adjusted odds ratio = 1.92; 95% confidence interval = 1.06-3.49) and follow-up time >30 days (adjusted odds ratio = 0.43; 95% confidence interval = 0.25-0.73) were significantly associated with successful referrals. These findings have implementation implications for programs aiming to address social needs in practice. Less than half of households reported successful referrals, which suggests the need for additional research and an opportunity for further program optimization.
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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.