Scaling Primary Care Social Needs Screening and Referrals in New York City's Safety-Net Health System

被引：2

作者：

Calvo-Friedman, Alessandra ^{[1
]}

Clapp, Jenifer ^{[1
]}

Kumar, Samantha Lily ^{[1
]}

Adams, Ayrenne ^{[1
]}

Gogia, Kriti ^{[1
]}

Davis, Nichola J. ^{[2
,3
]}

机构：

[1] NYC Hlth Hosp, Social Determinants Hlth, Off Ambulatory Care & Populat Hlth, New York, NY 10004 USA

[2] NYC Hlth Hosp, Off Ambulatory Care & Populat Hlth, New York, NY USA

[3] NYU, Grossman Sch Med, Dept Populat Hlth, New York, NY USA

来源：

NEJM CATALYST INNOVATIONS IN CARE DELIVERY | 2023年 / 4卷 / 07期

关键词：

Culture of Health;

D O I：

10.1056/CAT.22.0371

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Identifying and addressing patients' social health are essential to addressing health equity. Screening for social needs and connecting patients to resources in clinical settings is one way to identify and address the social factors that contribute to health. Policy makers are increasingly turning to incentivizing and requiring social needs screening and referrals to encourage health systems to identify and address patient social needs. NYC Health + Hospitals implemented and scaled social needs screening and referrals starting in 2017 across primary care clinical sites. The health system's approach was to focus on screening for patients' highest-priority needs for which there were available resources, to prioritize effective screening and referrals over universal screening, and to establish referral workflows. Implementing meaningful social needs screening and referrals requires a significant investment in creating screening workflows and in building key resources to meet patient needs.

引用

页数：12

共 18 条

[1]

[Anonymous], The Accountable Health Communities Health-Related Social Needs Screening Tool

[2] Social Needs Screening and Referral Program at a Large US Public Hospital System, 2017 [J].

Berry, Carolyn ;

Paul, Margaret ;

Massar, Rachel ;

Marcello, Roopa Kalyanaraman ;

Krauskopf, Marian .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2020, 110 :S211-S214

[3]

Butler ED., 2020, Screening for unmet social needs: patient engagement or alienation?, DOI [10.1056/CAT.19.1037, DOI 10.1056/CAT.19.1037]

[4] Implementing Community Resource Referral Technology: Facilitators And Barriers Described By Early Adopters [J].

Cartier, Yuri ;

Fichtenberg, Caroline ;

Gottlieb, Laura M. .

HEALTH AFFAIRS, 2020, 39 (04) :662-669

[5]

Centers for Medicare Medicaid Services Department of Health and Human Services, 2022, Fed Regist, V87, P48780

[6]

De Marchis EH., 2022, State of the science of screening in healthcare settings

[7] From Policy Statement to Practice: Integrating Social Needs Screening and Referral Assistance With Community Health Workers in an Urban Academic Health Center [J].

Fiori, Kevin ;

Patel, Milani ;

Sanderson, Dana ;

Parsons, Amanda ;

Hodgson, Sybil ;

Scholnick, Jenna ;

Bathory, Eleanor ;

White-Davis, Tanya ;

Wigod, Neal ;

Chodon, Tashi ;

Rich, Andrea ;

Braganza, Sandra .

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH, 2019, 10

[8] Prevalence of Screening for Food Insecurity, Housing Instability, Utility Needs, Transportation Needs, and Interpersonal Violence by US Physician Practices and Hospitals [J].

Fraze, Taressa K. ;

Brewster, Amanda L. ;

Lewis, Valerie A. ;

Beidler, Laura B. ;

Murray, Genevra F. ;

Colla, Carrie H. .

JAMA NETWORK OPEN, 2019, 2 (09)

[9] Early Childhood Referrals by HealthySteps and Community Health Workers [J].

German, Miguelina ;

Alonzo, Jayxa K. ;

Williams, I. Mihiri ;

Bushar, Jessica ;

Levine, Sydney M. ;

Cuno, Kate C. ;

Umylny, Polina ;

Briggs, Rahil D. .

CLINICAL PEDIATRICS, 2023, 62 (04) :321-328

[10] A Randomized Trial on Screening for Social Determinants of Health: the iScreen Study [J].

Gottlieb, Laura ;

Hessler, Danielle ;

Long, Dayna ;

Amaya, Anais ;

Adler, Nancy .

PEDIATRICS, 2014, 134 (06) :E1611-E1618

← 1 2 →