SynthesisPreventing chronic disease2021
Screening and Referral Care Delivery Services and Unmet Health-Related Social Needs: A Systematic Review.
Synthesis in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 1 of them a synthesis that pooled 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.
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 Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers (CHW-SYSTIM)
Community Pharmacies as Social Determinant of Health Navigators
Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Social Needs Resource Connections: A Systematic Review of Barriers, Facilitators, and Evaluation.American journal of preventive medicine · 2022Pooled it
- A Randomized Controlled Trial Testing the Effects of a Social Needs Navigation Intervention on Health Outcomes and Healthcare Utilization among Medicaid Members with Type 2 Diabetes.International journal of environmental research and public health · 2024Trial
- In-person versus electronic screening for social risks among carers of pediatric inpatients: A mixed methods randomized trial.European journal of pediatrics · 2024Trial
- Referrals to Community and State Agencies to Address Social Determinants of Health for Improving Mental Health, Functioning, and Quality of Care Outcomes for Diverse Adults.American journal of public health · 2024Trial
- Veterans' views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication: A qualitative study.Patient education and counseling · 2023Trial
- Social Needs Screening and Subsequent Acute Care Utilization in a Large Safety-Net Health System: A Retrospective Cohort Study.Journal of general internal medicine · 2026Article
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Referral Coordination to Address Health Disparities in Special Olympics Athletes With Intellectual and Developmental Disabilities.American journal of public health · 2026Article
- Prevalence and Predictors of Guideline Concordant Pediatric Obesity Care: A Narrative Review.Current obesity reports · 2026Review
- Implementation and costs of a food insecurity resource navigation program for primary care patients with diabetes and hypertension in South Carolina.Preventive medicine reports · 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
- Beyond capacity: qualitative stakeholder perspectives on demand for health-related social needs navigation through patient self-navigation tools.BMC health services research · 2026Article
- Impact of Food Insecurity Resource Navigation for Primary Care Patients with Diabetes and Hypertension: A Matched Cohort Study.Journal of general internal medicine · 2026Article
- Prevalence Of Food Insecurity And Associated Factors Among Adults Living With Chronic Pain In Quebec, Canada: A Cross-Sectional Study.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Preliminary Field-Note Observations on Referral Uptake Among Community-Dwelling Older Adults: A Qualitative Pilot Study in Tarrant County, Texas.Health services insights · 2026Article
- Barriers to patient engagement with community-based resources following social determinants of health (SDOH) screening: a mixed-methods study across hospitals in the Chicago metropolitan area.BMJ public health · 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
- Hungry for connection: associations between social isolation, mental health, and food insecurity in regional Australian adults.Health promotion international · 2025Article
- Testing a multi-faceted strategy to support the implementation of ACEs screenings in primary care: results of a stepped-wedge pilot trial.Implementation science communications · 2025Article
- Perspectives on Health-Related Social Needs Screening in Primary Care Among Black and Latine Patients.JAMA network open · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUnmet health-related social needs contribute to high patient morbidity and poor population health. A potential solution to improve population health includes the adoption of care delivery models that alleviate unmet needs through screening, referral, and tracking of patients in health care settings, yet the overall impact of such models has remained unexplored. This review addresses an existing gap in the literature regarding the effectiveness of these models and assesses their overall impact on outcomes related to experience of care, population health, and costs.
methodsIn March 2020, we searched for peer-reviewed articles published in PubMed over the past 10 years. Studies were included if they 1) used a screening tool for identifying unmet health-related social needs in a health care setting, 2) referred patients with positive screens to appropriate resources for addressing identified unmet health-related social needs, and 3) reported any outcomes related to patient experience of care, population health, or cost.
resultsOf 1,821 articles identified, 35 met the inclusion criteria. All but 1 study demonstrated a tendency toward high risk of bias. Improved outcomes related to experience of care (eg, change in social needs, patient satisfaction, n = 34), population health (eg, diet quality, blood cholesterol levels, n = 7), and cost (eg, program costs, cost-effectiveness, n = 3) were reported. In some studies (n = 5), improved outcomes were found among participants who received direct referrals or additional assistance with indirect referrals compared with those who received indirect referrals only.
conclusionEffective collaborations between health care organizations and community-based organizations are essential to facilitate necessary patient connection to resources for addressing their unmet needs. Although evidence indicated a positive influence of screening and referral programs on outcomes related to experience of care and population health, no definitive conclusions can be made on overall impact because of the potentially high risk of bias in the included studies.
Indexed as
Identifiers
What OpenQuestion holds
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.