Evidence map›Paper›PMID 39825177›Full record

ArticleJournal of general internal medicine2025

Association of Hospital-Based Social Needs Interventions with Potentially Preventable Admissions.

Margae J Knox, Amanda L Brewster, Jennifer Ahern, Stephen M Shortell, Emily L Hague, Hector P Rodriguez

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Margae J KnoxKaiser Permanente Division of Research, Pleasanton, CA, USA. margae@berkeley.edu.ORCID 0000-0002-5234-8610
Amanda L BrewsterSchool of Public Health, Division of Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.
Jennifer AhernSchool of Public Health, Division of Epidemiology, University of California, Berkeley, Berkeley, CA, USA.
Stephen M ShortellSchool of Public Health, Division of Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.
Emily L HagueSchool of Public Health, Division of Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.
Hector P RodriguezSchool of Public Health, Division of Health Policy and Management, University of California, Berkeley, Berkeley, CA, USA.

Funding

AHRQ HHS T32 HS022241AHRQ HHS T32HS022241
6 · The paper itself

Abstract

backgroundExternal incentives increasingly encourage hospitals to address health-related social needs, yet limited evidence exists about whether social needs interventions are associated with quality indicators like potentially preventable admissions.

objectiveWe analyze whether four hospital interventions-meal delivery, transportation to health services, mobile clinics, and community-oriented violence prevention programs-are associated with potentially preventable hospitalizations.

designCross-sectional analysis of survey-based and claims-based data.

participantsIn total, 813 hospitals from 14 states, representing 6,003,739 adult all-payer hospital admissions. APPROACH: This study merged 2017 Healthcare Cost Utilization Project State Inpatient Databases with 2017 American Hospital Association survey data. Generalized linear models for each of the four interventions were separately estimated to assess the association with potentially preventable hospitalizations, controlling for hospital and patient characteristics. Sensitivity analyses restricted regression modeling to adult Medicaid and Medicare beneficiaries. KEY

resultsA minority (13%) of hospital admissions were potentially preventable. 24% of hospitals offered transportation to health services, 16% offered mobile clinic services, 16% offered violence prevention programs, and 9% offered meal delivery. In adjusted analyses, hospital meal delivery was associated with 1.1% lower predicted probability of a potentially preventable hospitalization (95% confidence interval (CI) -2.1% to -0.1%), with a stronger relationship among Medicaid beneficiaries (-2.3%, 95% CI -3.5% to -1.0%). Associations for other social needs interventions were not statistically significant.

conclusionsHospital meal delivery was associated with significantly lower probability of potentially preventable hospitalizations, with larger effects for Medicaid beneficiaries. Meal delivery may support hospital quality. More nuanced understanding about the reach of social needs interventions is needed to further examine the impact of these hospital-based services on patient outcomes.

Indexed as

HospitalizationPatient AdmissionAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited Statesavoidable admissionshealth-related social needshospitalsmeal deliverymobile clinicspopulation healthpreventable admissionsqualitytransportationviolence prevention

Identifiers

PMID39825177
PMCPMC12344029

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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.