Clinician Experiences and Attitudes Regarding Screening for Social Determinants of Health in a Large Integrated Health System

Dados Bibliográficos

ID9101016
AutoresA Schickedanz (0000-0002-3182-1384, University of California, Los Angeles, autor correspondente), Courtnee Hamity (0000-0001-7328-310X, Care Management Institute, Kaiser Permanente, Oakland, CA), Artair Rogers (0000-0002-7238-0757, Health Leads, Boston, MA), Adam L Sharp (0000-0002-6736-6184, Kaiser Permanente Southern California, Research and Evaluation Department), Ana Jackson (Care Management Institute, Kaiser Permanente, Oakland, CA)
Ano2019
Volume57
FascículoSuppl 2
PáginasS197-S201
Data de publicação2019-06-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001051
PMID31095061
OpenAlexW2946573635
IdiomaEN
Citações recebidas23
Referências citadas20

BACKGROUND: Clinical screening for basic social needs-such as food and housing insecurity-is becoming more common as health systems develop programs to address social determinants of health. Clinician attitudes toward such programs are largely unexplored. OBJECTIVE: To describe the attitudes and experiences of social needs screening among a variety of clinicians and other health care professionals. RESEARCH DESIGN: Multicenter electronic and paper-based survey. SUBJECTS: Two hundred fifty-eight clinicians including primarily physicians, social workers, nurses, and pharmacists from a large integrated health system in Southern California. MEASURES: Level of agreement with prompts exploring attitudes toward and barriers to screening and addressing social needs in different clinical settings. RESULTS: Overall, most health professionals supported social needs screening in clinical settings (84%). Only a minority (41%) of clinicians expressed confidence in their ability to address social needs, and less than a quarter (23%) routinely screen for social needs currently. Clinicians perceived lack of time to ask (60%) and resources (50%) to address social needs as their most significant barriers. We found differences by health profession in attitudes toward and barriers to screening for social needs, with physicians more likely to cite time constraints as a barrier. CONCLUSIONS: Clinicians largely support social needs programs, but they also recognize key barriers to their implementation. Health systems interested in implementing social needs programs should consider the clinician perspective around the time and resources required for such programs and address these perceived barriers

Family medicine · Health care · Medical education · Needs assessment · Public health · Quarter (Canadian coin) · Social determinants of health · Social needs · Social support · Child Nutrition and Water Access · Cultural Competency in Health Care · Food Security and Health in Diverse Populations · Medicine · Nursing · Psychology · Social Psychology