Evidence map›Paper›PMID 35426010›Full record

ArticleJournal of general internal medicine2022

"More than just giving them a piece of paper": Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations.

Laura B Beidler, Na'amah Razon, Hannah Lang, Taressa K Fraze

Open access · hybridAbstract 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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
11.7field-weighted citation impact, top 1% of its field
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

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  8. Clusters of Health-Related Social Needs Among Adult Primary Care Patients.Journal of the American Board of Family Medicine : JABFM · 2025
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  13. Review
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  17. Health Related Social Needs Screening and Referral Fulfillment: Toward a Complex Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
    Article
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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

4 authors at 2 institutions in 1 country.

Laura B BeidlerThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Hanover, USA.
Na'amah RazonFamily and Community Medicine, University of California, Davis, Davis, USA.
Hannah LangDartmouth College, Hanover, USA.
Taressa K FrazePhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, USA. Taressa.Fraze@ucsf.edu.ORCID 0000-0002-8346-6425
Dartmouth College · USUniversity of California, San Francisco · US

Funding

PA-20-072: Accelerating the Use of Evidence-based Innovation in Healthcare SystemsU19HS024075 · AHRQ · DARTMOUTH COLLEGE · PI MEARA, ELLEN R. · 2015 to 2021
$19.8M
AHRQ HHS 1U19HS024075AHRQ HHS U19 HS024075
6 · The paper itself

Abstract

backgroundPrimary care practices are responding to calls to incorporate patients' social risk factors, such as housing, food, and economic insecurity, into clinical care. Healthcare likely relies on the expertise and resources of community-based organizations to improve patients' social conditions, yet little is known about the referral process.

objectiveTo characterize referrals to community-based organizations by primary care practices.

designQualitative study using semi-structured interviews with healthcare administrators responsible for social care efforts in their organization.

participantsAdministrators at 50 diverse US healthcare organizations with efforts to address patients' social risks. MAIN MEASURES: Approaches used in primary care to implement social needs referral to community-based organizations.

resultsInterviewed administrators reported that social needs referrals were an essential element in their social care activities. Administrators described the ideal referral programs as placing limited burden on care teams, providing patients with customized referrals, and facilitating closed-loop referrals. We identified three key challenges organizations experience when trying to implement the ideal referrals program: (1) developing and maintaining resources lists; (2) aligning referrals with patient needs; and (3) measuring the efficacy of referrals. Collectively, these challenges led to organizations relying on staff to manually develop and update resource lists and, in most cases, provide patients with generic referrals. Administrators not only hoped that referral platforms may help overcome some of these barriers, but also reported implementation challenges with platforms including inconsistent buy-in and use across staff; integration with electronic health records; management and prioritization of resources; and alignment with other organizations in their market. CONCLUSION AND RELEVANCE: Referrals to community-based organizations were used in primary care to improve patients' social conditions, but despite strong motivations, interviewees reported challenges providing tailored and up-to-date information to patients.

Indexed as

Delivery of Health CareReferral and ConsultationHumansPrimary Health CareQualitative Researchcliniciansprimary carereferralssocial determinants of healthsocial risks

Identifiers

PMID35426010
PMCPMC9708990
OpenAlexW4224034988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.