ArticleBMC health services research2022
Do patients want clinicians to ask about social needs and include this information in their medical record?
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed.
- Integration of fairness-awareness into clinical language processing models.Communications medicine · 2026Article
- Safeguarding Social Determinants of Health Data at a Managed Health Plan.Advances in health information science and practice · 2026Article
- Individuals' Desire for Social Needs Sharing Among Healthcare Providers: Findings from the 2022 Health Information National Trends Survey.Journal of general internal medicine · 2026Article
- Under Pressure and Underrecognized: The Role of Social Workers and Case Managers in Screening for Social Determinants of Health in the United States.Journal of patient-centered research and reviews · 2026Review
- Examining the social prescription process: Barriers, facilitators, and the role of health information technology.Social science & medicine (1982) · 2025Article
- A Proactive Telephonic Outreach Program to Address Unmet Social Needs of Children in Immigrant and Refugee Families at a Federally Qualified Health Center.Journal of racial and ethnic health disparities · 2025Article
- Identifying Transportation Needs in Ophthalmology Clinic Notes Using Natural Language Processing: Retrospective, Cross-Sectional Study.JMIR medical informatics · 2025Article
- Seeing the unseen: uncovering health-related social needs through universal screening at an academic ophthalmology practice.Eye (London, England) · 2025Article
- Patient and clinician acceptability of automated extraction of social drivers of health from clinical notes in primary care.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Health-Related Social Needs Discussions in Primary Care Encounters in Safety-Net Clinics: A Qualitative Analysis.JAMA network open · 2025Article
- Is Area-Level Social Vulnerability Index Associated With Patient-Level Health-Related Social Needs in Hand Surgery?The Journal of the American Academy of Orthopaedic Surgeons · 2025Article
- Social risk factors screening preferences among breast and prostate cancer survivors: A qualitative study.Journal of psychosocial oncology · 2025Article
- Classifying Individuals With Rheumatic Conditions as Financially Insecure Using Electronic Health Record Data and Natural Language Processing: Algorithm Derivation and Validation.ACR open rheumatology · 2024Article
- Leveraging data to support health equity in an integrated delivery and finance system.Learning health systems · 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
- Raising patient voices in medical education: an assessment of patient perceived effect of social determinants of health conversations and the patient-physician relationship on quality of obstetric care, to inform the development of patient driven medical education curricula.Frontiers in reproductive health · 2024Article
- Patient and Care Team Perspectives on Social Determinants of Health Screening in Primary Care: A Qualitative Study.JAMA network open · 2023Article
- Integrating patient voices into the extraction of social determinants of health from clinical notes: ethical considerations and recommendations.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Social determinants of health: critical consciousness as the core to collective impact.Frontiers in research metrics and analytics · 2023Article
- Merging Law and Medicine: Patient Attitudes About and Experiences with Social Needs Screening and Medical-Legal Partnerships in Primary Care.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial needs screening in primary care may be valuable for addressing non-medical health-related factors, such as housing insecurity, that interfere with optimal medical care. Yet it is unclear if patients welcome such screening and how comfortable they are having this information included in electronic health records (EHR).
objectiveTo assess patient attitudes toward inclusion of social needs information in the EHR and key correlates, such as sociodemographic status, self-rated health, and trust in health care. DESIGN, PARTICIPANTS, AND MAIN MEASURES: In a cross-sectional survey of patients attending a primary care clinic for annual or employment exams, 218/560 (38%) consented and completed a web survey or personal interview between 8/20/20-8/23/21. Patients provided social needs information using the Accountable Care Communities Screening Tool. For the primary outcome, patients were asked, "Would you be comfortable having these kinds of needs included in your health record (also known as your medical record or chart)?" ANALYSES: Regression models were estimated to assess correlates of patient comfort with including social needs information in medical records. KEY
resultsThe median age was 45, 68.8% were female, and 78% were white. Median income was $75,000 and 84% reported education beyond high school. 85% of patients reported they were very or somewhat comfortable with questions about social needs, including patients reporting social needs. Social need ranged from 5.5% (utilities) to 26.6% (housing), and nonwhite and gender-nonconforming patients reported greater need. 20% reported "some" or "complete" discomfort with social needs information included in the EHR. Adjusting for age, gender, race, education, trust, and self-rated health, each additional reported social need significantly increased discomfort with the EHR for documenting social needs.
conclusionsPeople with greater social needs were more wary of having this information placed in the EHR. This is a concerning finding, since one rationale for collecting social need data is to use this information (presumably in the EHR) for addressing needs.
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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.