Evidence map›Paper›PMID 34120507›Full record

ArticleJournal of primary care & community health

Factors Associated with Patients' Connection to Referred Social Needs Resources at a Federally Qualified Health Center.

Tyler Lian, Kate Kutzer, Diwas Gautam, Howard Eisenson, Jane C Crowder, Emily Esmaili, Sahil Sandhu, Lawrence Trachtman, Janet Prvu Bettger, Connor Drake

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

10 authors.

Tyler LianDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-4065-8416
Kate KutzerTrinity College of Arts & Sciences, Duke University, Durham, NC, USA.
Diwas GautamTrinity College of Arts & Sciences, Duke University, Durham, NC, USA.
Howard EisensonLincoln Community Health Center, Durham, NC, USA.
Jane C CrowderLincoln Community Health Center, Durham, NC, USA.
Emily EsmailiLincoln Community Health Center, Durham, NC, USA.
Sahil SandhuTrinity College of Arts & Sciences, Duke University, Durham, NC, USA.
Lawrence TrachtmanLincoln Community Health Center, Durham, NC, USA.
Janet Prvu BettgerDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Connor DrakeDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn an effort to improve health outcomes and promote health equity, healthcare systems have increasingly begun to screen patients for unmet social needs and refer them to relevant social services and community-based organizations. This study aimed to identify factors associated with the successful connection (ie, services started) to social needs resources, as well as factors associated with an attempt to connect as a secondary, intermediate outcome.

methodsThis retrospective cohort study included patients who had been screened, referred, and subsequently reached for follow-up navigation from March 2019 to December 2020, as part of a social needs intervention at a federally qualified health center (FQHC). Measures included demographic and social needs covariates collected during screening, as well as resource-related covariates that characterized the referred resources, including service domain (area of need addressed), service site (integration relative to the FQHC), and access modality (means of accessing services).

resultsOf the 501 patients in the analytic sample, 32.7% had started services with 1 or more of their referred resources within 4 weeks of the initial referral, and 63.3% had at least attempted to contact 1 referred resource, whether or not they were able to start services. Receiving a referral to resources that patients could access via phone call or drop-in visit, as opposed to resources that required additional appointments or applications prior to accessing services, was associated with increased odds (aOR 1.95, 95% CI 1.05, 3.61) of connection success, after adjusting for age, sex, race, ethnicity, education, number of social needs, and resource-related characteristics. This study did not find statistically significant associations between connection attempt and any variable included in adjusted analyses.

conclusionThese findings suggest that referral pathways may influence the success of patients' connection to social needs resources, highlighting opportunities for more accessible solutions to addressing patients' unmet social needs.

Indexed as

Health PromotionReferral and ConsultationHumansMass ScreeningRetrospective StudiesSocial Workaccess to carecommunity health centersneeds assessmentprimary carereferral and consultationsocial determinants of healthunderserved communities

Identifiers

PMID34120507
PMCPMC8202269

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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.