Terence C Cheng, Seonghoon Kim, Dennis Petrie
Health shocks, health and labor market dynamics, and the socioeconomic-health gradient in older Singaporeans
Social science & medicine (1982)
background socioeconomic factors significant impact patients health status could responsible much 7080 patients overall health factors called social determinants health sdoh define patients daytoday experiences influence factors well recognized ultimately responsible addressing sdoh health care remains unclear physicians clinicians suitably placed assess sdoh factors impact clinical decision making understanding medicare advantage macontracted primary care provider pcp sdoh perceptions yet fully explored objectives understand macontracted pcp perceptions sdoh b investigate correlations pcp perceptions cms part star performances well hospital admissions emergency room admissions methods survey data collected macontracted pcps serving south texas market 2019 8item survey consisting short answer ranking multiplechoice questions deployed attendancemandatory provider meetings august october analyses conducted understand providers sdoh perceptions pcp responses first summarized frequencies percentages baseline descriptive characteristics providers compared medicare star ratings using chisquare tests categorical variables ttests continuous variables group differences physician beliefs sdoh affects patients overall health question 1 well provider beliefs regarding sdoh affects patients medication adherence practices question 2 assessed using chisquare ttests associations provider sdoh perceptions hospital admissions emergency room admissions also assessed fischers chisquare test used examine associations pcps answered question regarding lack consistent transportation question 3 emergency room admissions relationships pcp perceptions whose job address sdoh question 7 hospital admissions also evaluated results response rate returned surveys 89 analysis revealed top 3 barriers financial insecurity 2487 low health literacy 1865 social isolation 1503 however 36 pcps felt primary addressor sdoh significant association years practice cms part star ratings p 0005 significant association responses belief towards patients overall health cms part star ratings examined p 0047 statistically significant difference mean hospital admissions pcp perception address sdoh p 003 emergency room admissions significantly associated perceptions regarding lack consistent transportation p 004 differences star ratings observed conclusions previous literature recognize safety food insecurity key sdoh barriers however among top sdoh barriers survey future research examine patient perceptions sdoh population identify ways providers better serve patients disclosures funding study provided careallies cigna business statistical analysis completed partnership university houston payne esse qian serna villarreal bechodominguez employees careallies mohan abughosh employed university houston college pharmacy abughosh reports grants valeant regeneronsanofi unrelated work vadhariya nothing disclose research presented virtually amcp pharmacist virtual learning days event april 2020 well american college clinical pharmacy virtual poster symposium may 2627 2020