ArticleFamily medicine and community health2021
Exploring the association of social determinants of health and clinical quality measures and performance in HRSA-funded health centres.
Article in Family medicine and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.
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.
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Who cites it
8 citing papers in PubMed.
- Maternal Area of Residence and Outcomes for Mother-Infant Dyads with Perinatal Opioid Exposure.American journal of perinatology · 2026Trial
- Maternal Area of Residence and Outcomes for Mother-Infant Dyads with Perinatal Opioid Exposure.American journal of perinatology · 2026Trial
- The effects of socioeconomic deprivation on colorectal cancer outcomes; a retrospective regional cohort study.International journal of colorectal disease · 2026Article
- Associations of Social Deprivation and Oncology Physician Network Vulnerability With Acute Care Utilization in the SEER-Medicare Population.Health services research · 2026Article
- Frailty, social deprivation, and mortality among Medicare fee-for-service beneficiaries.Journal of the American Geriatrics Society · 2025Article
- Neighborhood-level social determinants of health and cardioprotective behaviors among church members in New Orleans, Louisiana.The American journal of the medical sciences · 2024Article
- Health centres and social determinants of health: an analysis of enabling services provision and clinical quality.Family medicine and community health · 2023Article
- Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population.Journal of primary care & community healthArticle
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
Abstract
objectiveThis paper explores the impact of service area-level social deprivation on health centre clinical quality measures.
designCross-sectional data analysis of Health Resources and Services Administration (HRSA)-funded health centres. We created a weighted service area social deprivation score for HRSA-funded health centres as a proxy measure for social determinants of health, and then explored adjusted and unadjusted clinical quality measures by weighted service area Social Deprivation Index quartiles for health centres. SETTINGS: HRSA-funded health centres in the USA.
participantsOur analysis included a subset of 1161 HRSA-funded health centres serving more than 22 million mostly low-income patients across the country.
resultsHigher levels of social deprivation are associated with statistically significant poorer outcomes for all clinical quality outcome measures (both unadjusted and adjusted), including rates of blood pressure control, uncontrolled diabetes and low birth weight. The adjusted and unadjusted results are mixed for clinical quality process measures as higher levels of social deprivation are associated with better quality for some measures including cervical cancer screening and child immunisation status but worse quality for other such as colorectal cancer screening and early entry into prenatal care.
conclusionsThis research highlights the importance of incorporating community characteristics when evaluating clinical outcomes. We also present an innovative method for capturing health centre service area-level social deprivation and exploring its relationship to health centre clinical quality measures.
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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.