ArticleJournal of primary care & community health
Implementing Health Related Social Needs Screening in an Outpatient Clinic.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Insights Into Patients' Perceptions of Health-Related Social Needs and the Role of the Adult Primary Care Clinic.Journal of primary care & community healthTrial
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Identification of Patients for a Community Health Worker Program Using an Artificial Intelligence Algorithm.Learning health systems · 2026Article
- Implementing Financial Screening for Adolescents and Young Adults Treated in the Outpatient Oncology Setting.JCO oncology practice · 2026Article
- How Providers, Health System Leaders, and States Can Work Together to Align Disparate Policy Efforts to Address Health-Related Social Needs: Learning from North Carolina.North Carolina medical journal · 2025Article
- Health-Related Social Needs Discussions in Primary Care Encounters in Safety-Net Clinics: A Qualitative Analysis.JAMA network open · 2025Article
- Article
- Factors Associated With Uptake of an Open Access Health Center-Based Mobile Produce Market: A Case for Expanded Eligibility.Journal of the Academy of Nutrition and Dietetics · 2024Article
- Social Risk and Clinical Outcomes Among Adults With Type 2 Diabetes.JAMA network open · 2024Article
- Implementation of social needs screening for minoritized patients newly diagnosed with breast cancer: a mixed methods evaluation in a pragmatic patient navigation trial.BMC health services research · 2024Article
- Identifying Individuals with Highest Social Risk in Adults with Type 2 Diabetes Using Item Response Theory.Journal of general internal medicine · 2024Article
- Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study.JMIR formative research · 2024Article
- Designing an implementation strategy to increase health-related social needs screening: Applying the PRISM framework in a resource-limited clinical setting.Translational behavioral medicine · 2024Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Assessing the Feasibility of an Empathic Inquiry Approach to Social Needs Screening in 10 Federally Qualified Health Centers.The Permanente journal · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
INTRODUCTION/
objectivesHealth-related social needs (HRSN) screening efforts have reported high rates of identified social needs. Little is known if efforts to conduct HRSN screening in resource-constrained federally-qualified health centers (FQHC) successfully captures a representative patient population.
methodsThis cross-sectional study extracted EMR data from 2016 to 2020 for 4731 screened patients from 7 affiliated clinics of a FQHC. Unscreened patients were pulled as a random sample from the study period. A multivariable logistic regression was used to identify sociodemographic traits, chronic disease diagnoses and burden, and clinic visit type and frequency associated with being screened for HRSN.
resultsBHC screened 4731 unique patients or <1% of the total clinic population. Screened patients had a median of 3.3 (±2.5) unmet HRSN. Medicaid patients had higher odds of being screened (aOR = 1.38, CI 1.19-1.61) relative to Medicare patients. The odds of being screened for social needs increased with more provider visits per year: compared to fewer than 1 visit per year, patients with 1 to 3 provider visits (aOR = 2.06, CI 1.73-2.32), 4 to 6 provider visits (aOR = 3.34, CI 2.89-3.87), and more than 6 provider visits (aOR = 5.16, CI 4.35-6.12) all had higher odds of social needs screening. Patients with a higher comorbid disease burden (>2 conditions, aOR = 2.80, CI 2.07-3.79) had higher odds of screening.
conclusionsOur findings demonstrate an increased likelihood to screen patients who visit outpatient services more often and have a higher comorbid disease burden. To meet state-level Medicaid requirements, resource-constrained FQHCs that implement clinic wide HRSN screening may be well served to identify
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