ArticleJournal of health care for the poor and underserved2021
The Direct Clinic-Level Cost of the Implementation and Use of a Protocol to Assess and Address Social Needs in Diverse Community Health Center Primary Care Clinical Settings.
Article in Journal of health care for the poor and underserved, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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Who cites it
10 citing papers in PubMed.
- Applying a process mapping methodology to identify barriers and facilitators to social needs screener and medical-legal partnership integration into primary care facilities.Journal of clinical and translational science · 2026Article
- Performance of 2-stage health-related social needs screening using area-level measures.The American journal of managed care · 2025Article
- Integrating a risk prediction score in a clinical decision support to identify patients with health-related social needs in the emergency department.JAMIA open · 2025Article
- Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.Contemporary clinical trials · 2024Article
- Association of Patient-Reported Social Needs with Emergency Department Visits and Hospitalizations Among Federally Qualified Health Center Patients.Journal of general internal medicine · 2024Article
- Sustainability of Social Needs Resolution Interventions: A Call to Consider Cost.American journal of preventive medicine · 2024Article
- Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program.North Carolina medical journal · 2024Article
- Use of and barriers to adopting standardized social risk screening tools in federally qualified health centers during the first year of the COVID-19 pandemic.Health services research · 2024Article
- Article
- A Tailored SMS Text Message-Based Intervention to Facilitate Patient Access to Referred Community-Based Social Needs Resources: Protocol for a Pilot Feasibility and Acceptability Study.JMIR research protocols · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeSocial determinants of health, including food insecurity, housing instability, social isolation, and unemployment are important drivers of health outcomes and utilization. To inform implementation of social needs screening and response protocols, there is a need to identify the associated costs in routine primary care encounters.
methodsWe interviewed key stakeholders in four diverse community health centers that had adopted a widely used social needs screening and response protocol. We evaluated costs using an activity-based costing tool across both the initial implementation phase and ongoing maintenance phase.
resultsClinic costs were associated with workforce development, planning, and electronic health record integration. These initial implementation costs varied by site ($6,644-$49,087). On a per-patient basis, ongoing maintenance costs ranged from $9.76 to $47.98.
conclusionOur findings can aid in designing reimbursement mechanisms tied to social needs screening and response to accelerate translational efforts and promote health equity.
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