Sebastian T. Tong|Winston Liaw|Paulette Lail Kashiri|James Pecsok|Julia S Rozman|Andrew Bazemore|Alex H. Krist
Clinician Experiences with Screening for Social Needs in Primary Care
Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University
despite clear evidence demonstrating influence social determinants health whether clinicians address determinants remain unclear aimed understand primary care clinicians experiences administering social needs screening instrumentusing prospective observational design identified patients living communities lower education income seen 17 clinicians 12 practices northern virginia office visits patients completed social needs surveys probed quality life education housing finances substance use transportation social connections physical activity food access clinicians reviewed completed surveys patients concurrently clinicians participated series learning collaboratives consider address social needs part care completed diary entries knowing patients social needs influenced care seeing patientout total 123 patients 106 86 reported social need excluding physical activity 71 reported social need although 3 wanted help clinicians reported knowing patient social need changed care delivery 23 patients helped improve interactions knowledge patient 53 clinicians reported assessing social needs difficult resource intensive insufficient resources help patients identified needsclinicians reported knowing patients social needs changed improved communication many patients however evidence needed regarding benefit social needs screening primary care widespread implementation