Association of Patient and System-Level Factors With Social Determinants of Health Screening.
Med Care
; 60(9): 700-708, 2022 09 01.
Article
em En
| MEDLINE
| ID: mdl-35866557
ABSTRACT
BACKGROUND:
Health systems are increasingly recognizing the importance of collecting social determinants of health (SDoH) data. However, gaps remain in our understanding of facilitators or barriers to collection. To address these gaps, we evaluated a real-world implementation of a SDoH screening tool.METHODS:
We conducted a retrospective analysis of the implementation of the SDoH screening tool at Mayo Clinic in 2019. The outcomes are (1) completion of screening and (2) the modality used (MyChart filled out on patient portal; WelcomeTablet filled out by patient on a PC-tablet; EpicCare data obtained directly by provider and entered in chart). We conducted logistic regression for completion and multinomial logistic regression for modality. The factors of interest included race and ethnicity, use of an interpreter, and whether the visit was for primary care.RESULTS:
Overall, 58.7% (293,668/499,931) of screenings were completed. Patients using interpreters and racial/ethnic minorities were less likely to complete the screening. Primary care visits were associated with an increase in completion compared with specialty care visits. Patients who used an interpreter, racial and ethnic minorities, and primary care visits were all associated with greater WelcomeTablet and lower MyChart use.CONCLUSION:
Patient and system-level factors were associated with completion and modality. The lower completion and greater WelcomeTablet use among patients who use interpreters and racial and ethnic minorities points to the need to improve screening in these groups and that the availability of the WelcomeTablet may have prevented greater differences. The higher completion in primary care visits may mean more outreach is needed for specialists.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Problema de saúde:
1_desigualdade_iniquidade
/
2_cobertura_universal
Assunto principal:
Programas de Rastreamento
/
Determinantes Sociais da Saúde
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Humans
Idioma:
En
Revista:
Med Care
Ano de publicação:
2022
Tipo de documento:
Article