000			03287nam a22004457a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a2813-0146
024			_aPMC11215188 [pmc]
040			_aOvid MEDLINE(R)
099			_a38952646
245			_aBarriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study.
251			_aFrontiers in Health Services. 4:1380589, 2024.
252			_aFront Health Serv. 4:1380589, 2024.
253			_aFrontiers in health services
260			_c2024
260			_fFY2025
260			_p2024
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2024-08-07
266			_z2024/07/02 04:07
520			_aBackground: 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.
520			_aConclusions: 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.
520			_aMethods: 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.
520			_aResults: 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.
546			_aEnglish
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			_aKazi, Sadaf _bNCHF
700			_aMilicia, Arianna _bNCHF
700			_aMiller, Kristen _bMHRI
700			_aStarling, Claire _bMHRI
790			_aKazi S, Starling C, Milicia A, Buckley B, Grisham R, Gruber E, Miller K, Arem H
856			_uhttps://dx.doi.org/10.3389/frhs.2024.1380589 _zhttps://dx.doi.org/10.3389/frhs.2024.1380589
942			_cART _dArticle
999			_c14468 _d14468