ArticleBMC public health2021
Intersecting systemic and personal barriers to accessing social services: qualitative interviews in northern California.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Staff-reported barriers and facilitators to the implementation of healthcare interventions within regional and rural areas: a rapid review.BMC health services research · 2025Pooled it
- Understanding patient barriers and enablers to accessing community resources: a qualitative study to inform navigation service delivery.BMC primary care · 2025Trial
- Leveraging Social Needs Assessments to Eliminate Barriers to Diabetes Self-Management in a Vulnerable Population.International journal of environmental research and public health · 2025Trial
- Family-Based Motivational Interviewing and Resource Mobilization to Prevent Obesity: Living Well Together Trial.Journal of nutrition education and behavior · 2024Trial
- Multivariable regression modelling of structural, intermediary and demographic determinants of health literacy: evidence from unaccompanied migrants and statelessness-prone individuals in Ghana.Journal of health, population, and nutrition · 2026Article
- Evaluation of Language Accessibility of Community Resources to Address Pediatric Social Needs in 2 Large US Cities.Academic pediatrics · 2026Article
- Outreach Assessment for Social Health Needs in Patients with Multiple Chronic Conditions: Qualitative Study of Patient Experience.Journal of general internal medicine · 2026Article
- From Screening to Support: Exploring Patient Engagement With Health-Related Social Needs Services.AJPM focus · 2025Article
- Discontinuity of social support among US adults with cognitive impairment before and after the confirmed diagnosis of dementia: a matched ambidirectional cohort study.BMC medicine · 2025Article
- Bridging Gaps: Provider Perspectives on Integrating Systems for Health Equity.International journal of environmental research and public health · 2025Article
- Social Work During Skilled Home Healthcare: Prevalence and Determinants.Innovation in aging · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAddressing social risks in the clinical setting can increase patient confidence in the availability of community resources and may contribute to the development of a therapeutic alliance which has been correlated with treatment adherence and improved quality of life in mental health contexts. It is not well understood what barriers patients face when trying to connect to community resources that help address social risks. This paper aims to describe patient-reported barriers to accessing and using social needs-related resources to which they are referred by a program embedded in a safety net primary care clinic.
methodsThis is a qualitative assessment of patient-reported barriers to accessing and using social needs assistance programs. We conducted over 100 in-depth interviews with individuals in Northern California who participated in a navigation and referral program to help address their social needs and describe a unique framework for understanding how policies and systems intersect with an individual's personal life circumstances.
resultsIndividuals described two distinct domains of barriers: 1) systems-level barriers that were linked to the inequitable distribution of and access to resources, and 2) personal-level barriers that focused on unique limitations experienced by each patient and impacted the way that they accessed services in their communities. While these barriers often overlapped or manifested in similar outcomes, this distinction was key because the systems barriers were not things that individuals could control or overcome through their own initiative or by increasing individual capacity.
conclusionsRespondents describe intersecting systemic and personal barriers that compound patients' challenges to getting their social needs met; this includes both a picture of the inequitable distribution of and access to social services and a profile of the limitations created by individual life histories. These results speak to the need for structural changes to improve adequacy, availability, and accessibility of social needs resources. These findings highlight the need for advocacy to address systems barriers, especially the stigma that is faced by people who struggle with a variety of health and social issues, and investment in incentives to strengthen relationships between health care settings and social service agencies.
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