Evidence map›Paper›PMID 38041409›Full record

ArticleJournal of primary care & community health

Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers.

Kristina M Bridges, Joseph W LeMaster, Daniel J Parente, Christina M Pacheco, Christine Schultz, Emily Morrow, Erin Corriveau, Ton Miras Neira, K Allen Greiner, Jennifer Woodward and 4 more

Open access · goldAbstract read
In one paragraph

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
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

14 authors at 1 institution in 1 country.

Kristina M BridgesUniversity of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0003-3542-974X
Joseph W LeMasterUniversity of Kansas Medical Center, Kansas City, KS, USA.
Daniel J ParenteUniversity of Kansas Medical Center, Kansas City, KS, USA.
Christina M PachecoUniversity of Kansas Medical Center, Kansas City, KS, USA.
Christine SchultzUniversity of Kansas Medical Center, Kansas City, KS, USA.
Emily MorrowUniversity of Kansas Medical Center, Kansas City, KS, USA.
Erin CorriveauUniversity of Kansas Medical Center, Kansas City, KS, USA.
Ton Miras NeiraUniversity of Kansas Medical Center, Kansas City, KS, USA.
K Allen GreinerUniversity of Kansas Medical Center, Kansas City, KS, USA.
Jennifer WoodwardUniversity of Kansas Medical Center, Kansas City, KS, USA.
Jordan Anders-RumseyUniversity of Kansas Medical Center, Kansas City, KS, USA.
Daniel CirotskiUniversity of Kansas Medical Center, Kansas City, KS, USA.
Sarah Finocchario-KesslerUniversity of Kansas Medical Center, Kansas City, KS, USA.
Edward F EllerbeckUniversity of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRural and under-resourced urban communities face unique challenges in addressing patients' social determinants of health needs (SDoH). Community health workers (CHWs) can support patients experiencing social needs, yet little is known about how rural and under-resourced primary care clinics are screening for SDoH or utilizing CHWs.

methodsInterviews were conducted with primary care clinic providers and managers across a geographically large and predominately rural state to assess screening practices for SDoH and related community resources, and perspectives on using CHWs to address SDoH. Interviews were conducted by phone, recorded, and transcribed. Data were analyzed using thematic analysis. We completed interviews with 27 respondents (12 providers and 15 clinic managers) at 26 clinics.

resultsTwelve (46.1%) clinics had a standardized process for capturing SDoH, but this was primarily limited to Medicare wellness visits. Staffing and time were identified as barriers to proper SDoH screening. Lack of transportation and affordable medication were the most cited SDoH. While respondents were all aware of CHWs, only 8 (30.8%) included a CHW on their care team. Perceived barriers to engaging CHWs included cost, space, and availability of qualified CHWs. Perceived benefits of engaging CHWs in their practice were: assisting patients with navigating resources and programs, relieving clinical staff of non-medical tasks, and bridging language barriers.

conclusionsRural and under-resourced primary care clinics need help in identifying and addressing SDoH. CHWs could play an important part in addressing social needs and promoting preventive care if financial constraints could be addressed and local CHWs could be trained.

Indexed as

Community Health WorkersMedicareSocial Determinants of HealthAgedAmbulatory Care FacilitiesHealth EquityHumansKansasPhysicians, Primary CarePrimary Health CareRural PopulationUnited Statescommunity health workershealth equityprimary care physiciansruralsocial determinants of healthunder-resourced

Identifiers

PMID38041409
PMCPMC10693805
OpenAlexW4389275936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.