Nothing New Under the Sun: How Existing Screening Programs can Inform the Design of Social Determinants of Health Screening in Health Care.
Research Objective Up to 80% of the factors contributing to an individual’s health status are social determinants of health (SDOH). As healthcare systems transition to value-based payment models which compensate providers for patient health outcomes, many have called for healthcare organizations to screen patients for SDOH-related social needs and for providers to consider them when providing medical care. Screening for social needs is expected to involve collecting information that may make patients feel vulnerable, creating a need to develop screening methods that emphasize patient comfort. Similarly, social needs screening may place burdens on providers that have limited training and time to conduct screening or act on the results. Yet, it is underacknowledged that providers, especially in oncology, obstetrics and gynecology, and population health, may already routinely collect sensitive data from patients, including social needs — suggesting that understanding existing screening programs may help to inform the design of expanded social needs screening practices. With a goal of identifying lessons learned in practice, we describe case studies of existing social needs screening in three clinical areas.
AcademyHealth ARM 2020
Iott, Bradley; Anthony, Denise; Pater, Jessica; Wagner, Shauna; Toscos, Tammy PhD; and Veinot, Tiffany, "Nothing New Under the Sun: How Existing Screening Programs can Inform the Design of Social Determinants of Health Screening in Health Care." (2020). Health Services and Informatics Research. 28.