000			03715nam a22005657a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a1472-6963
024			_a10.1186/s12913-024-10948-7 [pii]
024			_aPMC11005183 [pmc]
040			_aOvid MEDLINE(R)
099			_a38600578
245			_aUnderstanding social needs screening and demographic data collection in primary care practices serving Maryland Medicare patients.
251			_aBMC Health Services Research. 24(1):448, 2024 Apr 10.
252			_aBMC Health Serv Res. 24(1):448, 2024 Apr 10.
253			_aBMC health services research
260			_c2024
260			_p2024 Apr 10
260			_fFY2024
265			_sepublish
265			_tMEDLINE
501			_aAvailable online from MWHC library: 2001 - present
520			_aBACKGROUND: Health outcomes are strongly impacted by social determinants of health, including social risk factors and patient demographics, due to structural inequities and discrimination. Primary care is viewed as a potential medical setting to assess and address individual health-related social needs and to collect detailed patient demographics to assess and advance health equity, but limited literature evaluates such processes.
520			_aCONCLUSIONS: Within the MDPCP program there was widespread implementation of social needs screenings and demographic data collection. However, there was room for additional supports in addressing some challenging social needs and increasing detailed demographics. Further research is needed to understand any adjustments to clinical care in response to identified social needs or application of data for uses such as assessing progress towards health equity and the subsequent impact on clinical care and health outcomes. Copyright © 2024. The Author(s).
520			_aMETHODS: We conducted an analysis of cross-sectional survey data collected from n = 507 Maryland Primary Care Program (MDPCP) practices through Care Transformation Requirements (CTR) reporting in 2022. Descriptive statistics were used to summarize practice responses on social needs screening and demographic data collection. A stepwise regression analysis was conducted to determine factors predicting screening of all vs. a targeted subset of beneficiaries for unmet social needs.
520			_aRESULTS: Almost all practices (99%) reported conducting some form of social needs screening and demographic data collection. Practices reported variation in what screening tools or demographic questions were employed, frequency of screening, and how information was used. More than 75% of practices reported prioritizing transportation, food insecurity, housing instability, financial resource strain, and social isolation.
546			_aEnglish
650			_a*Housing
650			_a*Medicare
650			_aAged
650			_aCross-Sectional Studies
650			_aData Collection
650			_aHumans
650			_aMaryland
650			_aPrimary Health Care
650			_aUnited States
650			_zAutomated
651			_aMedStar Health Research Institute
651			_aMedStar Institute for Innovation
656			_aNational Center for Human Factors in Healthcare
657			_aJournal Article
700			_aArem, Hannah _bMHRI
700			_aBlumenthal, Joseph _bMHRI
700			_aKazi, Sadaf _bNCHF
700			_aMilicia, Arianna _bNCHF
700			_aSmith, MarjannabMHRI
700			_aStarling, Claire M _bMHRI
790			_aStarling CM, Smith M, Kazi S, Milicia A, Grisham R, Gruber E, Blumenthal J, Arem H
856			_uhttps://dx.doi.org/10.1186/s12913-024-10948-7 _zhttps://dx.doi.org/10.1186/s12913-024-10948-7
942			_cART _dArticle
999			_c14312 _d14312