Observational studyJournal of general internal medicine2023
Health-Related Social Needs: Which Patients Respond to Screening and Who Receives Resources?
Observational study in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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
16 citing papers in PubMed.
- Relationship Between Unmet Transportation Needs and Missed Primary Care Appointments: An Observational Study.Journal of general internal medicine · 2026Article
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Potential for Bias in Social Needs Data Collection and Screening Activities in Health Care Settings.JAMA health forum · 2026Article
- Identification of Patients for a Community Health Worker Program Using an Artificial Intelligence Algorithm.Learning health systems · 2026Article
- Language and Demographic Disparities in Social Needs and Referral Preferences in the Pediatric ED.Academic pediatrics · 2026Observational
- Simulation modeling of neighborhood-level differences in life course health outcomes: a proof of concept.Innovation in aging · 2026Article
- Identifying Transportation Needs in Ophthalmology Clinic Notes Using Natural Language Processing: Retrospective, Cross-Sectional Study.JMIR medical informatics · 2025Article
- Association of Hospital-Based Social Needs Interventions with Potentially Preventable Admissions.Journal of general internal medicine · 2025Article
- An Electronic, Preclinic, Social Determinants Survey Shows Pediatric Atherosclerotic Risk Factor Referral Identifies At-Risk Families.Journal of pediatrics. Clinical practice · 2025Article
- Associations between Health-Related Social Needs and Postpartum Linkage to Care.American journal of preventive medicine · 2025Article
- Development and validation of computable social phenotypes for health-related social needs.JAMIA open · 2025Article
- Validation of the Jefferson health-related social needs screener.Frontiers in health services · 2025Article
- Identifying and addressing health-related social needs: a Medicaid member perspective.BMC health services research · 2024Article
- A Clinical Decision Support System for Addressing Health-Related Social Needs in Emergency Department: Defining End User Needs and Preferences.Applied clinical informatics · 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
- The Association Between Patient-Reported Social Risks and the HOUSES Index: A Rural-Urban Comparison.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHealth systems are screening patients for health-related social needs (HRSN) but the optimal approach is unknown.
objectiveTo describe the variation in responding to an HRSN questionnaire delivered via patient portal, and whether referral to and resources provided by social workers differed by response status.
designRetrospective observational study.
participantsPrimary care patients with a visit between June 2020 and January 2022.
interventionHRSN questionnaire MAIN MEASURES: We identified each patient's index visit (e.g., date of their first questionnaire response for responders or their first visit within the study period for non-responders). Through the EHR, we identified patients' demographic characteristics. We linked the area deprivation index (ADI) to each patient and grouped patients into quintiles. We used multilevel logistic regressions to identify characteristics associated with responding to the questionnaire and, for responders, reporting a need. We also determined if responder status was associated with receiving a social worker referral or receiving a resource. We included patient demographics and ADI quintile as fixed variables and practice site as a random variable. KEY
resultsOur study included 386,997 patients, of which 51% completed at least one HRSN questionnaire question. Patients with Medicaid insurance (AOR: 0.62, 95%CI: 0.61, 0.64) and those who lived in higher ADI neighborhoods had lower adjusted odds of responding (AOR: 0.76, 95% CI: 0.75, 0.78 comparing quintile 5 to quintile 1). Of responders, having Medicaid insurance (versus private) increased the adjusted odds of reporting each of the HRSN needs by two- to eightfold (p < 0.01). Patients who completed a questionnaire (versus non-responders) had similar adjusted odds of receiving a referral (AOR: 0.91, 95% CI: 0.80, 1.02) and receiving a resource from a SW (AOR: AOR: 1.18, 95%CI: 0.79, 1.77).
conclusionHRSN questionnaire responses may not accurately represent the needs of patients, especially when delivered solely via patient portal.
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