Evidence map›Paper›PMID 33989068›Full record

ArticlePopulation health management2021

Social Needs, Chronic Conditions, and Health Care Utilization among Medicaid Beneficiaries.

Amy McQueen, Linda Li, Cynthia J Herrick, Niko Verdecias, Derek S Brown, Darrell J Broussard, Rachel E Smith, Matthew Kreuter

Abstract 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Article
  5. Helping patients with cancer address their social needs.Proceedings (Baylor University. Medical Center) · 2025
    Article
  6. Article
  7. Article
  8. Observational
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  12. Article
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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

8 authors.

Amy McQueenSchool of Medicine and Washington University in St. Louis, St. Louis, Missouri, USA.
Linda LiBrown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.ORCID 0000-0003-0996-7763
Cynthia J HerrickSchool of Medicine and Washington University in St. Louis, St. Louis, Missouri, USA.
Niko VerdeciasBrown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.
Derek S BrownBrown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.
Darrell J BroussardLouisiana Healthcare Connections, Baton Rouge, Louisiana, USA.
Rachel E SmithLouisiana Healthcare Connections, Baton Rouge, Louisiana, USA.
Matthew KreuterBrown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Addressing Basic Needs to Improve Diabetes Outcomes in Medicaid BeneficiariesR01DK115916 · NIDDK · WASHINGTON UNIVERSITY · PI KREUTER, MATTHEW W., MCQUEEN, AMY · 2018 to 2022
$3.2M
NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

Health care organizations are increasingly assessing patients' social needs (eg, food, utilities, transportation) using various measures and methods. Prior studies have assessed social needs at the point of care and many studies have focused on correlates of 1 specific need (eg, food). This comprehensive study examined multiple social needs and medical and pharmacy claims data. Medicaid beneficiaries in Louisiana (n = 10,275) completed a self-report assessment of 10 social needs during July 2018 to June 2019. Chronic health conditions, unique medications, and health care utilization were coded from claims data. The sample was predominantly female (72%), Black (45%) or White (32%), had a mean age of 42 years, and at least 1 social need (55%). In bivariate analyses, having greater social needs was associated with greater comorbidity across conditions, and each social need was consistently associated with mental health and substance use disorders. In multivariable logistic analyses, having ≥2 social needs was positively associated with emergency department (ED) visits (OR = 1.39, CI = 1.23 - 1.57) and negatively associated with wellness visits (OR = 0.87, CI = 0.77 - 0.98), inpatient visits (OR = 0.87, CI = 0.76 - 0.99), and 30-day rehospitalization (OR = 0.66, CI = 0.50 - 0.87). Findings highlight the greater concomitant risk of social needs, mental health, and substance use. Admission policies may reduce the impact of social needs on hospitalization. Chronic disease management programs offered by health plans may benefit from systematically assessing and addressing social needs outside point-of-care interactions to impact health outcomes and ED utilization. Behavioral health care management programs would benefit from integrating interventions for multiple social needs.

Indexed as

MedicaidPatient Acceptance of Health CareAdultChronic DiseaseEmergency Service, HospitalFemaleHospitalizationHumansUnited Stateschronic diseasehealth status disparitieslow-income populationMedicaidpatient care

Identifiers

PMID33989068
PMCPMC8713253

What OpenQuestion holds

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Registered trials

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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.