Evidence map›Paper›PMID 35801145›Full record

ReviewHealth equity2022

Effectiveness of Social Needs Screening and Interventions in Clinical Settings on Utilization, Cost, and Clinical Outcomes: A Systematic Review.

Alice F Yan, Zhuo Chen, Yang Wang, Jennifer A Campbell, Qian-Li Xue, Michelle Y Williams, Lance S Weinhardt, Leonard E Egede

Registry-linked trialAbstract readReview
In one paragraph

Review in Health equity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926855 (Community Health Workers Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers), which is not on this map. Cited by 104 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 2 pooled it
–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.

NCT06926855 nacompletednot on this mapstarted 2025, after this paper: background citation

Community Health Workers Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers (CHW-SYSTIM)

TypeinterventionalSponsorMorehouse School of MedicineRan2025 to 2026Enrolled72,726ConditionsUncontrolled Diabetes, Uncontrolled HypertensionArmsCHC-level cluster randomized control trial
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cardiovascular Health of Single Mothers: A Systematic Review.Journal of the American Heart Association · 2025
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44 more citing papers are in PubMed but not listed here.

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

8 authors.

Alice F YanCenter for Advancing Population Science (CAPS), Division of Internal Medicine, Department of Medicine, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.ORCID https://orcid.org/0000-0002-3162-3687
Zhuo ChenDepartment of Health Policy and Management, College of Public Health, University of Georgia, Athens, Georgia, USA.ORCID https://orcid.org/0000-0002-5351-3489
Yang WangChina Center for Health Development Studies, Peking University, Beijing, China.ORCID https://orcid.org/0000-0002-5632-1909
Jennifer A CampbellCenter for Advancing Population Science (CAPS), Division of Internal Medicine, Department of Medicine, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.ORCID https://orcid.org/0000-0002-5878-6283
Qian-Li XueDivision of Geriatric Medicine and Gerontology, Department of Medicine and the Center on Aging and Health, School of Medicine, The Johns Hopkins University, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-8818-7444
Michelle Y WilliamsDivision of Research, Nursing and Patient Care Services, Stanford Health Care, Palo Alto, California, USA.ORCID https://orcid.org/0000-0001-6476-354X
Lance S WeinhardtJoseph J. Zilber School of Public Health, University of Wisconsin Milwaukee, Milwaukee, Wisconsin, USA.ORCID https://orcid.org/0000-0002-5535-9809
Leonard E EgedeCenter for Advancing Population Science (CAPS), Division of Internal Medicine, Department of Medicine, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.ORCID https://orcid.org/0000-0003-1546-1515

Funding

Conditional Cash Transfer Intervention to Improve Health Outcomes among Inner-City African Americans with T2DMK01DK131319 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Jennifer Annette Campbell · 2022 to 2026
$682k
NIDDK NIH HHS K01 DK131319
6 · The paper itself

Abstract

Objective: This systematic review examined and synthesized peer-reviewed research studies that reported the process of integrating social determinants of health (SDOH) or social needs screening into electronic health records (EHRs) and the intervention effects in the United States. Methods: Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, a systematic search of Scopus, Web of Science Core Collection, MEDLINE, and Cochrane Central Register of Clinical Trials was performed. English language peer-reviewed studies that reported the process of integrating SDOH or social needs screening into EHRs within the U.S. health systems and published between January 2015 and December 2021 were included. The review focused on process measures, social needs changes, health outcomes, and health care cost and utilization. Results: In total, 28 studies were included, and half were randomized controlled trials. The majority of the studies targeted multiple SDOH domains. The interventions vary by the levels of intensity of their approaches and heterogeneities in outcome measures. Most studies (82%, Conclusion: Our review supports the current policy efforts to increase U.S. health systems' investment toward directly addressing SDOH. While effective interventions can be more complex or resource intensive than an online referral, health care organizations hoping to achieve health equity and improve population health must commit the effort and investment required to achieve this goal.

Indexed as

clinical outcomeshealth care utilization and costinterventionscreeningsocial needssystematic review

Identifiers

PMID35801145
PMCPMC9257553

What OpenQuestion holds

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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.