Barriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study. (Record no. 14468)

MARC details
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fixed length control field 03287nam a22004457a 4500
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fixed length control field 240807s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2813-0146
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Standard number or code PMC11215188 [pmc]
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Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38952646
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Title Barriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study.
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Source Frontiers in Health Services. 4:1380589, 2024.
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Abbreviated source Front Health Serv. 4:1380589, 2024.
253 ## - Journal Name
Journal name Frontiers in health services
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Year 2024
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Manufacturer FY2025
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Publication date 2024
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Publication status epublish
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Medline status PubMed-not-MEDLINE
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Date added to catalog 2024-08-07
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Date Medline record created 2024/07/02 04:07
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Abstract Background: Social needs screening can help modify care delivery to meet patient needs and address non-medical barriers to optimal health. However, there is a need to understand how factors that exist at multiple levels of the healthcare ecosystem influence the collection of these data in primary care settings.
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Abstract Conclusions: Overcoming barriers to effective screening for social needs in primary care requires not only practice- and provider-level process change but also an alignment of community resources and advocacy of policies to redistribute community assets to address social needs. Copyright © 2024 Kazi, Starling, Milicia, Buckley, Grisham, Gruber, Miller and Arem.
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Abstract Methods: We conducted 20 semi-structured interviews involving healthcare providers and primary care clinic staff who represented 16 primary care practices. Interviews focused on barriers and facilitators to awareness of and assistance for patients' social needs in primary care settings in Maryland. The interviews were coded to abstract themes highlighting barriers and facilitators to conducting social needs screening. The themes were organized through an inductive approach using the socio-ecological model delineating individual-, clinic-, and system-level barriers and facilitators to identifying and addressing patients' social needs.
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Abstract Results: We identified several individual barriers to awareness, including patient stigma about verbalizing social needs, provider frustration at eliciting needs they were unable to address, and provider unfamiliarity with community-based resources to address social needs. Clinic-level barriers to awareness included limited appointment times and connecting patients to appropriate community-based organizations. System-level barriers to awareness included navigating documentation challenges on the electronic health record.
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Language note English
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Indexing Automated
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Institution MedStar Health Research Institute
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Institution MedStar Institute for Innovation
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Department National Center for Human Factors in Healthcare
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Medline publication type Journal Article
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Local Authors Arem, Hannah
Institution Code MHRI
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Local Authors Kazi, Sadaf
Institution Code NCHF
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Local Authors Milicia, Arianna
Institution Code NCHF
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Local Authors Miller, Kristen
Institution Code MHRI
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Local Authors Starling, Claire
Institution Code MHRI
790 ## - Authors
All authors Kazi S, Starling C, Milicia A, Buckley B, Grisham R, Gruber E, Miller K, Arem H
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DOI <a href="https://dx.doi.org/10.3389/frhs.2024.1380589">https://dx.doi.org/10.3389/frhs.2024.1380589</a>
Public note https://dx.doi.org/10.3389/frhs.2024.1380589
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38952646 08/07/2024 08/07/2024 Journal Article

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