Faculty, Staff and Student Publications
Language
English
Publication Date
3-1-2024
Journal
Academic Pediatrics
DOI
10.1016/j.acap.2023.12.010
PMID
38160752
Abstract
Objective: Social determinants of health (SDOH) significantly affect individuals' health outcomes, yet universal electronic SDOH screening is not standard in primary care. Our study explores the implementation of an electronic SDOH screening in the electronic health record (EHR) and follow-up intervention among primary care pediatric patients within an academic clinic.
Methods: Beginning in August of 2022, patients and their families determined to have at least one SDOH need qualified for an in-clinic referral to a coordinated care team member. We assessed the overall efficacy and feasibility of the implementation.
Results: Over the 4-month pilot, 1473 of 2064 (71.4%) eligible patients were screened, with 472 (32%) patients screening positive on at least one SDOH domain. Of the 472 screened positive, 48 (10.2%) declined a referral. Two hundred and forty-seven of the 424 (58.3%) received a referral to a care coordination team member.
Conclusions: This study demonstrates the feasibility of a universal electronic SDOH screening tool within the EHR within an urban, academic-based clinic.
Keywords
Humans, Child, Social Determinants of Health, Ambulatory Care Facilities, Electronic Health Records, Electronics, Primary Health Care, coordinated care, health care team, health determinants, social determinants of health
Published Open-Access
yes
Recommended Citation
Stark, Kaitlyn; Mathur, Mallika; Fok, Christina; et al., "Evaluation of a Clinic-Based, Electronic Social Determinants of Health Screening and Intervention in Primary Care Pediatrics" (2024). Faculty, Staff and Student Publications. 4165.
https://digitalcommons.library.tmc.edu/uthmed_docs/4165