000			03536nam a22004937a 4500
008			240723s20242024 xxu||||| |||| 00| 0 eng d
022			_a1545-1151
024			_aE22 [pii]
024			_aPMC10996388 [pmc]
040			_aOvid MEDLINE(R)
099			_a38573795
245			_aContextual Factors Relevant to Implementing Social Risk Factor Screening and Referrals in Cancer Survivorship: A Qualitative Study.
251			_aPreventing Chronic Disease. 21:E22, 2024 Apr 04.
252			_aPrev Chronic Dis. 21:E22, 2024 Apr 04.
253			_aPreventing chronic disease
260			_c2024
260			_p2024 Apr 04
260			_fFY2024
265			_sepublish
265			_tMEDLINE
501			_aAvailable online through MWHC library: 2004 - present
520			_aConclusion: The complexity of cancer care workflows and lack of reimbursement results in a limited ability for clinic staff members to screen and make referrals for social risk factors. Creating clinical workflows that are flexible and tailored to staffing realities may contribute to successful implementation of a screening and referral program. Improving ongoing communication with community-based organizations to address needs was deemed important by interviewees.
520			_aIntroduction: Social risk factors such as food insecurity and lack of transportation can negatively affect health outcomes, yet implementation of screening and referral for social risk factors is limited in medical settings, particularly in cancer survivorship.
520			_aMethods: We conducted 18 qualitative, semistructured interviews among oncology teams in 3 health systems in Washington, DC, during February and March 2022. We applied the Exploration, Preparation, Implementation, Sustainment Framework to develop a deductive codebook, performed thematic analysis on the interview transcripts, and summarized our results descriptively.
520			_aResults: Health systems varied in clinical and support staff roles and capacity. None of the participating clinics had an electronic health record (EHR)-based process for identifying patients who completed their cancer treatment ("survivors") or a standardized cancer survivorship program. Their capacities also differed for documenting social risk factors and referrals in the EHR. Interviewees expressed awareness of the prevalence and effect of social risk factors on cancer survivors, but none employed a systematic process for identifying and addressing social risk factors. Recommendations for increasing screening for social risk factors included designating a person to fulfill this role, improving data tracking tools in the EHR, and creating systems to maintain up-to-date information and contacts for community-based organizations.
546			_aEnglish
650			_a*Cancer Survivors
650			_a*Neoplasms
650			_aEarly Detection of Cancer
650			_aHumans
650			_aNeoplasms/di [Diagnosis]
650			_aQualitative Research
650			_aReferral and Consultation
650			_aRisk Factors
650			_zAutomated
651			_aMedStar Health Research Institute
657			_aJournal Article
700			_aArem, Hannah
700			_aLittlejohn, Robin _bMHRI
700			_aSchubel, Laura _bMHRI
790			_aAstorino JA, Pratt-Chapman ML, Schubel L, Lee Smith J, White A, Sabatino SA, Littlejohn R, Buckley BO, Taylor T, Arem H
856			_uhttps://dx.doi.org/10.5888/pcd21.230352 _zhttps://dx.doi.org/10.5888/pcd21.230352
942			_cART _dArticle
999			_c14316 _d14316