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January 2019 Research Round-Up

Below we highlight recent literature on screening for and/or addressing social needs in clinical settings. To receive the Research Round-Up in your email, sign up for our monthly newsletter.

Find these articles and many more in our searchable Evidence Library.


Journal Articles

Documenting Social Determinants of Health-Related Clinical Activities Using Standardized Medical Vocabularies
A. Arons, S. DeSilvey, C. Fichtenberg, & L. Gottlieb
This analysis of medical coding systems identified 1,095 codes that can facilitate documentation of social health-related clinical activities. Despite a large absolute number of codes, gaps exist in the capacity of current medical vocabularies to document specific social risk factor screening, diagnosis, and intervention activities.

Food for Thought: A Randomized Trial of Food Insecurity Screening in the Emergency Department
D. Cullen, A. Woodford, & J. Fein
Academic Pediatrics
This RCT of food insecurity screening in a pediatric emergency department found that tablet-based food insecurity screening resulted in a higher disclosure rate and was preferred by patients over verbal screening.

Novel Educational Program Improves Readiness to Manage Intimate Partner Violence within the Fracture Clinic: A Pretest-Posttest Study
EDUCATE Investigators
Canadian Medical Association Journal Open
This study found that a two-hour IPV educational program administered in fracture clinics led to improvements in participants' readiness to manage IPV.

Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendation Statement
S.J. Curry, A.H. Krist, D.K. Owens, et al.
USPSTF found that the evidence is insufficient to assess the balance of benefits and harms of primary care interventions, including home visiting programs, to prevent child maltreatment.

Physician Burnout and Higher Clinic Capacity to Address Patients’ Social Needs
E. De Marchis, M. Knox, D. Hessler, et al.
Journal of the American Board of Family Medicine
Using a national survey of family physicians, this paper finds that providers with a high perception of their clinic's ability to meet patients' social needs were less likely to report burnout.

Integrating Social and Medical Care: Could it Worsen Health and Increase Inequity?
L.M. Gottlieb & H. Alderwick
Annals of Family Medicine
This commentary highlights ways that incorporating social and economic risk data into health care delivery decisions could harm patients' health and widen health inequities.

Universal Intimate-Partner Violence Assessment in the Pediatric Emergency Department and Urgent Care Setting: A Retrospective Review
M. Litzau, M. Denise Dowd, J. Stallbaumer-Rouyer, M.K. Miller, & K.A. Randell
Pediatric Emergency Care
This article describes the results of implementation of universal IPV assessment in a children's hospital system that led to assessment being documented in 96% of visits.

Psychosocial Factors in Children and Youth with Special Health Care Needs and Their Families
G. Mattson & D.Z. Kuo
This clinical report provides guidance to help pediatric providers coordinate care with child care providers, schools, social services, and other community agencies to improve the health, wellness, and quality of life of children and youth with special health care needs.

Practice Capacity to Address Patients’ Social Needs and Physician Satisfaction and Perceived Quality of Care
M.S. Pantell, E. De Marchis, A. Bueno, & L.M. Gottlieb
Annals of Family Medicine
This analysis of a sample of US primary care practices found that perceived capacity to address social needs is strongly associated with both clinician satisfaction and perceived medical care quality.

Screening for Poverty and Intervening in a Primary Care Setting: An Acceptability and Feasibility Study
A.D. Pinto, M. Bondy, A. Rucchetto, J. Ihnat, & A. Kaufman
Family Practice
This feasibility study describes the implementation of screening for poverty and use of an online tool that helps identify financial benefits in a community health center in Toronto, Canada.

Improving Health Outcomes for Immigrant Families through IPV Screening: Resources and Recommendations for Pediatric Health Care Providers
N. Prakash, J. Prevot, B. Kola, & S.K. Wood
Current Problems in Pediatric and Adolescent Health Care
This paper describes the literature on IPV screening for immigrant populations and provides resources and recommendations for pediatricians.

Social Needs and Health-Related Outcomes Among Medicaid Beneficiaries
T. Thompson, A. McQueen, M. Croston, et al.
Health Education & Behavior
In a sample of Medicaid beneficiaries from 35 states, higher levels of unmet social needs were positively associated with stress, smoking, and number of chronic conditions, and negatively associated with future orientation, attitudes toward prevention, physical activity, fruit and vegetable consumption, and self-rated health.

Primary Care Physician Stress Driven by Social and Financial Needs of Complex Patients
J.Z. Weiner, J.K. McCloskey, C.S. Uratsu, & R.W. Grant
Journal of Internal General Medicine
This study examines the association between primary care physician self-reported stress and specific components of patient complexity such as socioeconomic or personal circumstances, burden of medical conditions, and behavioral health.

Link Workers' Perspectives on Factors Enabling and Preventing Client Engagement with Social Prescribing
J.M. Wildman, S. Moffatt, L. Penn, N. O'Brien, M. Steer, & C. Hill
Health & Social Care in the Community
This qualitative study of social prescribing in the UK finds that successful navigation to community resources is facilitated by navigators with the time and the personal skills required to develop a trusting relationship with clients.

Facilitators and Barriers of Sociodemographic Data Collection in Canadian Health Care Settings: A Multisite Case Study Evaluation
H. Williams-Roberts, C. Neudorf, S. Abonyi, J. Cushon, & N. Muhajarine
International Journal for Equity in Health
This qualitative study at three urban settings in Canada found that collection of sociodemographic data was facilitated by concern for equity in care and leadership commitment to an inclusive process for stakeholder engagement. Barriers included lack of perceived relevance for some questions, staff capacity and comfort with data collection, and adequate resources.



Innovation and Opportunities to Address Social Determinants of Health in Medicaid Managed Care
L. Daniel-Robinson & J.E. Moore
Institute for Medicaid innovation
This report describes opportunities Medicaid managed care organizations have to identify and address their members' unmet social needs and highlights current promising practices.

Incorporating Social Determinants of Health in Electronic Health Records: A Qualitative Study of Perspectives on Current Practices among Top Vendors
M. Freij, P. Dullabh, L. Hovey, J. Leonard, A. Card, & R. Dhopeshwarkar
U.S. Department of Health and Human Services Office of Health Policy
This report explores vendors' motivations for developing products that enable providers to identify and address patients' social risks; the products' characteristics and uses; and facilitators and challenges to their use. Given the lack of policy standards related to SDH data collection, vendors with large market shares may end up setting de facto standards.

State Strategies for Establishing Connections to Health Care for Justice-Involved Populations: The Central Role of Medicaid
J. Guyer, K. Serafi, D. Bachrach, & A. Gould
Commonwealth Fund Issue Brief
This issue brief summarizes the approaches used by state Medicaid programs to provide care to people leaving jail or prison.

Driving a Cross-Agency Focus on Equity and Access: Indiana’s Office of Healthy Opportunities
L. Martin
Center for Health Care Strategies, Inc.
This case study explores how Indiana’s Office of Healthy Opportunities in the Family and Social Services Administration (FSSA) is rethinking how to optimize the integration and delivery of health and social services for Medicaid beneficiaries.