Implementing and Enhancing Social and Economic Needs Screening at a Federally Qualified Health Center.
federally qualified health centers
primary care
program evaluation
social determinants of health
social needs
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
15 Sep 2023
15 Sep 2023
Historique:
received:
23
02
2023
accepted:
29
08
2023
medline:
16
9
2023
pubmed:
16
9
2023
entrez:
15
9
2023
Statut:
aheadofprint
Résumé
Programs to screen for social and economic needs (SENs) are challenging to implement. To describe implementation of an SEN screening program for patients obtaining care at a federally qualified health center (FQHC). Large Chicago-area FQHC where many patients are Hispanic/Latino and insured through Medicaid. In the program's phase 1 (beginning April 2020), a prescreening question asked about patients' interest in receiving community resources; staff then called interested patients. After several refinements (e.g., increased staffing, tailored reductions in screening frequency) to address challenges such as a large screening backlog, program phase 2 began in February 2021. In phase 2, a second prescreening question asked about patients' preferred modality to learn about community resources (text/email versus phone calls). During phase 1, 8925 of 29,861 patients (30%) expressed interest in community resources. Only 40% of interested patients were successfully contacted and screened. In phase 2, 5781 of 21,737 patients (27%) expressed interest in resources; 84% of interested patients were successfully contacted by either text/email (43%) or phone (41%). Under one-third of patients obtaining care at an FQHC expressed interest in community resources for SENs. After program refinements, rates of follow-up with interested patients substantially increased.
Sections du résumé
BACKGROUND
BACKGROUND
Programs to screen for social and economic needs (SENs) are challenging to implement.
AIM
OBJECTIVE
To describe implementation of an SEN screening program for patients obtaining care at a federally qualified health center (FQHC).
SETTING
METHODS
Large Chicago-area FQHC where many patients are Hispanic/Latino and insured through Medicaid.
PROGRAM DESCRIPTION
METHODS
In the program's phase 1 (beginning April 2020), a prescreening question asked about patients' interest in receiving community resources; staff then called interested patients. After several refinements (e.g., increased staffing, tailored reductions in screening frequency) to address challenges such as a large screening backlog, program phase 2 began in February 2021. In phase 2, a second prescreening question asked about patients' preferred modality to learn about community resources (text/email versus phone calls).
PROGRAM EVALUATION
RESULTS
During phase 1, 8925 of 29,861 patients (30%) expressed interest in community resources. Only 40% of interested patients were successfully contacted and screened. In phase 2, 5781 of 21,737 patients (27%) expressed interest in resources; 84% of interested patients were successfully contacted by either text/email (43%) or phone (41%).
DISCUSSION
CONCLUSIONS
Under one-third of patients obtaining care at an FQHC expressed interest in community resources for SENs. After program refinements, rates of follow-up with interested patients substantially increased.
Identifiants
pubmed: 37715098
doi: 10.1007/s11606-023-08404-z
pii: 10.1007/s11606-023-08404-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Society of General Internal Medicine.
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