Shaona Zhou, Jing Han, Kathleen Koenig, Amy Raplinger, Yuan Pi, Dan Li, Hua Xiao, Zhao Fu, Lei Bao
Assessment of Scientific Reasoning: the Effects of Task Context, Data, and Design on Student Reasoning in Control of Variables
Thinking skills and creativity
introductiondespite recent growth healthcare deliverybased social risk screening little known patient perspectives activities study evaluates patient caregiver acceptability social risk screeningmethodsthis crosssectional survey 969 adult patients adult caregivers pediatric patients recruited 6 primary care clinics 4 emergency departments across 9 states survey items included center medicare medicaid innovation accountable health communities social risk screening tool questions appropriateness screening comfort including social risk data electronic health records logistic regressions evaluated covariate associations acceptability measures data collection occurred july 2018 february 2019 data analyses conducted februarymarch 2019resultsscreening reported appropriate 79 participants 65 reported comfort including social risks electronic health records adjusted models higher perceived screening appropriateness associated previous exposure healthcarebased social risk screening aor182 95 ci116 288 trust clinicians aor155 95 ci100 240 recruitment primary care setting aor170 95 ci123 238 lower appropriateness associated previous experience healthcare discrimination aor066 95 ci045 095 higher comfort electronic health record documentation associated previously receiving assistance social risks healthcare setting aor147 95 ci104 207conclusionsa strong majority adult patients caregivers pediatric patients reported social risk screening appropriate also felt comfortable including social risk data electronic health records although multiple factors influenced acceptability effects moderate small findings suggest lack patient acceptability unlikely major implementation barriersupplement informationthis article part supplement entitled identifying intervening social needs clinical settings evidence evidence gaps sponsored agency healthcare research quality us department health human services kaiser permanente robert wood johnson foundation