Patrick Malecha|James H. Williams|Nathan Kunzler|Lewis Goldfrank|Harrison Alter|Kelly M. Doran
Material Needs of Emergency Department Patients: A Systematic Review
Massachusetts General Hospital|UCLA Medical Center|Harbor–UCLA Medical Center|Harvard Affiliated Emergency Medicine Residency|Massachusetts General Hospital|New York University|Alameda Health System|Highland Hospital|New York University
abstract background interest social determinants health sdoh expanded recent years driven recognition factors may influence health outcomes services use health care costs one subset sdoh material needs housing food conducted systematic review literature material needs among emergency department ed patients united states methods followed prisma guidelines systematic review methodology assistance research librarian four databases searched studies examining material needs among ed patients two reviewers independently screened titles abstracts full text identify eligible articles information abstracted systematically eligible articles results fortythree articles eligible inclusion heterogeneity study methods singlecenter crosssectional studies common specific material needs examined included homelessness poverty housing insecurity housing quality food insecurity unemployment difficulty paying health care difficulty affording basic expenses studies overwhelmingly supported notion ed patients high prevalence number material needs conclusions despite limitations individual studies examined review plurality prior research confirms ed serves vulnerable population high rates material needs future research needed better understand role needs play ed patients best address