Evidence map›Paper›PMID 34331212›Full record

ArticleJournal of general internal medicine2022

Post-Identification Approaches to Addressing Health-Related Social Needs in Primary Care: A Qualitative Study.

Lucas Zellmer, Bryan Johnson, Ahmed Idris, Christopher J Mehus, Iris W Borowsky

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Lucas ZellmerUniversity of Minnesota Medical School, University of Minnesota, Minneapolis, MN, USA. lzellmer@umn.edu.ORCID 0000-0001-9276-0784
Bryan JohnsonUniversity of Minnesota Medical School, University of Minnesota, Minneapolis, MN, USA.
Ahmed IdrisClinical and Translational Science Institute, University of Minnesota, Minneapolis, MN, USA.
Christopher J MehusInstitute for Translational Research in Children's Mental Health, University of Minnesota, Minneapolis, MN, USA.
Iris W BorowskyDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1TR000114
6 · The paper itself

Abstract

backgroundSocial determinants of health play a fundamental role in a patient's health status. In recent years, health systems across the nation have implemented numerous strategies aimed at identifying and addressing the health-related social needs of the patients they serve. Despite the influx of peer-reviewed research highlighting outcomes of specific health-related social needs interventions, the spectrum of practices utilized by primary care clinics has not been established.

objectiveTo determine the range of ways primary care clinics address health-related social needs after identification and initial contact with a frontline staff person is completed.

designWe conducted 12 semi-structured, in-person interviews with staff from purposively sampled clinics. If the interview included more than one staff person, all participants were interviewed together.

participantsTwenty-one administrative staff and frontline clinic personnel with experience in 24 separate primary care clinics in the Minneapolis-St. Paul, Minnesota metropolitan area. APPROACH: Interviews focused on the range of health-related social needs processes utilized by clinics, including staff titles, referral procedures, and barriers to addressing needs. Interview recordings were transcribed and coded using thematic analysis. KEY

resultsThematic analysis identified variation in four key areas involving how clinics address patients' health-related social needs after identification and initial contact by frontline staff: clinic personnel involved in addressing needs, clinic referral processes, "resource" and "success" definitions, and barriers to accessing community-based supports.

conclusionsThis study describes the large variation in primary care clinic practices to address health-related social needs after they are identified. The results suggest challenges to standardization and real-world application of previously published studies. Our findings also highlight the opportunity for improved relationships between health systems and community-based agencies.

Indexed as

Ambulatory Care FacilitiesReferral and ConsultationHumansMinnesotaPrimary Health CareQualitative Researchcare coordinationhealth-related social needsprimary caresocial determinants of health

Identifiers

PMID34331212
PMCPMC8904656

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.