ArticleBMC emergency medicine2024
Health-related social needs information in the emergency department: clinician and patient perspectives on availability and use.
Article in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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
11 citing papers in PubMed.
- Social determinants of health in the emergency department: knowledge, practices, and barriers.CJEM · 2026Article
- Potential for Bias in Social Needs Data Collection and Screening Activities in Health Care Settings.JAMA health forum · 2026Article
- Beyond capacity: qualitative stakeholder perspectives on demand for health-related social needs navigation through patient self-navigation tools.BMC health services research · 2026Article
- Exploring a Digital Health Solution to Collect and Manage Health-Related Needs for Patients Who Undergo Complex Surgery: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Performance of 2-stage health-related social needs screening using area-level measures.The American journal of managed care · 2025Article
- Integrating a risk prediction score in a clinical decision support to identify patients with health-related social needs in the emergency department.JAMIA open · 2025Article
- Implementing Social Determinants of Health Screening in US Emergency Departments.JAMA network open · 2025Article
- Article
- Regulatory and Payment Changes Addressing the Social Determinants of Kidney Health.Journal of the American Society of Nephrology : JASN · 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
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPatient health-related social needs (HRSN) complicate care and drive poor outcomes in emergency department (ED) settings. This study sought to understand what HRSN information is available to ED physicians and staff, and how HRSN-related clinical actions may or may not align with patient expectations.
methodsWe conducted a qualitative study using in-depth semi-structured interviews guided by HRSN literature, the 5 Rights of Clinical Decision Support (CDS) framework, and the Contextual Information Model. We asked ED providers, ED staff, and ED patients from one health system in the mid-Western United Stated about HRSN information availability during an ED encounter, HRSN data collection, and HRSN data use. Interviews were recorded, transcribed, and analyzed using modified thematic approach.
resultsWe conducted 24 interviews (8 per group: ED providers, ED staff, and ED patients) from December 2022 to May 2023. We identified three themes: (1) Availability: ED providers and staff reported that HRSNs information is inconsistently available. The availability of HRSN data is influenced by patient willingness to disclose it during an encounter. (2) Collection: ED providers and staff preferred and predominantly utilized direct conversation with patients to collect HRSNs, despite other methods being available to them (e.g., chart review, screening questionnaires). Patients' disclosure preferences were based on modality and team member. (3) Use: Patients wanted to be connected to relevant resources to address their HRSNs. Providers and staff altered clinical care to account for or accommodate HRSNs. System-level challenges (e.g., limited resources) limited provider and staff ability to address patients HRSNs.
conclusionsIn the ED, HRSNs information was inconsistently available, collected, or disclosed. Patients and ED providers and staff differed in their perspectives on how HSRNs should be collected and acted upon. Accounting for such difference in clinical and administrative decisions will be critical for patient acceptance and effective usage of HSRN information.
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Registered trials
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