Evidence map›Paper›PMID 41914552›Full record

ArticleJournal of primary care & community health

Social Risk Factors and Their Effect on Health Care Costs in a Midwestern Health Care System.

Matthew E Bernard, Jessica L Sosso, Dominika A Jegen, Summer V Allen, Karen M Fischer, Gerald J Sobolik, Jadyn R Dickes, Randy M Foss, Julie A Maxson, Gregory M Garrison and 2 more

Abstract 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. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

12 authors.

Matthew E BernardMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-1891-6880
Jessica L SossoMayo Clinic Health System in Southwest Wisconsin, Sparta, USA.ORCID 0009-0000-6088-6091
Dominika A JegenMayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2075-8778
Summer V AllenMayo Clinic, Rochester, MN, USA.
Karen M FischerMayo Clinic, Rochester, MN, USA.
Gerald J SobolikMayo Clinic, Rochester, MN, USA.
Jadyn R DickesMayo Clinic, Rochester, MN, USA.
Randy M FossMayo Clinic Health System in Southeast Minnesota, Lake City, USA.ORCID 0000-0003-3898-7317
Julie A MaxsonMayo Clinic, Rochester, MN, USA.
Gregory M GarrisonMayo Clinic, Rochester, MN, USA.ORCID 0000-0001-6903-4610
Michelle A LampmanMayo Clinic, Rochester, MN, USA.
Tom ThacherMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-7644-8173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess how social risk factors and socioeconomic status (SES) affect health care costs at a large, integrated health system of 45 clinics in Iowa, Minnesota, and Wisconsin.

methodsWe retrospectively reviewed administrative patient cost data from January 1 through December 31, 2022. Social risk factors (lack of financial resources, food insecurity, intimate partner violence, unmet transportation needs, and housing instability) were determined with patient questionnaires. Cost

resultsWe analyzed data from 410 624 patients empaneled with 689 family medicine clinicians. Self-reported risk factor data were incomplete for 219 321 patients. Costs were higher for those with higher social risk (mean cost

conclusionsPatient-reported social risk factors were significantly associated with increased cost of care in a large, multispecialty health system in the midwestern US. These associations were decreased in the multivariate analysis. Results should be interpreted cautiously for readers outside the midwestern US, given potential responder bias and the racial homogeneity (92% White) of the study cohort.

Indexed as

Health Care CostsSocial ClassAdultAgedFemaleFood InsecurityHumansMaleMiddle AgedMinnesotaRetrospective StudiesRisk FactorsSocial Determinants of HealthSocioeconomic Disparities in HealthSocioeconomic FactorsWisconsinaffordabilityanalysis (cost)cost of carehealth correlatesrisk factors scoresocial determinants of healthsocioeconomic status

Identifiers

PMID41914552
PMCPMC13039563

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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.