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Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives

Health outcomes are markedly influenced by health-related social needs (HRSN) such as food insecurity and housing instability. Under new Joint Commission requirements, hospitals have recently increased attention to HRSN to reduce health disparities. To evaluate prevailing attitudes and guide hospita...

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Autores principales: Trochez, Ricardo J., Sharma, Sahana, Stolldorf, Deonni P., Mixon, Amanda S., Novak, Laurie L., Rajmane, Amol, Dankwa-Mullan, Irene, Kripalani, Sunil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278007/
https://www.ncbi.nlm.nih.gov/pubmed/37092962
http://dx.doi.org/10.1089/pop.2022.0279
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author Trochez, Ricardo J.
Sharma, Sahana
Stolldorf, Deonni P.
Mixon, Amanda S.
Novak, Laurie L.
Rajmane, Amol
Dankwa-Mullan, Irene
Kripalani, Sunil
author_facet Trochez, Ricardo J.
Sharma, Sahana
Stolldorf, Deonni P.
Mixon, Amanda S.
Novak, Laurie L.
Rajmane, Amol
Dankwa-Mullan, Irene
Kripalani, Sunil
author_sort Trochez, Ricardo J.
collection PubMed
description Health outcomes are markedly influenced by health-related social needs (HRSN) such as food insecurity and housing instability. Under new Joint Commission requirements, hospitals have recently increased attention to HRSN to reduce health disparities. To evaluate prevailing attitudes and guide hospital efforts, the authors conducted a systematic review to describe patients' and health care providers' perceptions related to screening for and addressing patients' HRSN in US hospitals. Articles were identified through PubMed and by expert recommendations, and synthesized by relevance of findings and basic study characteristics. The review included 22 articles, which showed that most health care providers believed that unmet social needs impact health and that screening for HRSN should be a standard part of hospital care. Notable differences existed between perceived importance of HRSN and actual screening rates, however. Patients reported high receptiveness to screening in hospital encounters, but cautioned to avoid stigmatization and protect privacy when screening. Limited knowledge of resources available, lack of time, and lack of actual resources were the most frequently reported barriers to screening for HRSN. Hospital efforts to screen and address HRSN will likely be facilitated by stakeholders' positive perceptions, but common barriers to screening and referral will need to be addressed to effectively scale up efforts and impact health disparities.
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spelling pubmed-102780072023-06-20 Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives Trochez, Ricardo J. Sharma, Sahana Stolldorf, Deonni P. Mixon, Amanda S. Novak, Laurie L. Rajmane, Amol Dankwa-Mullan, Irene Kripalani, Sunil Popul Health Manag Original Articles Health outcomes are markedly influenced by health-related social needs (HRSN) such as food insecurity and housing instability. Under new Joint Commission requirements, hospitals have recently increased attention to HRSN to reduce health disparities. To evaluate prevailing attitudes and guide hospital efforts, the authors conducted a systematic review to describe patients' and health care providers' perceptions related to screening for and addressing patients' HRSN in US hospitals. Articles were identified through PubMed and by expert recommendations, and synthesized by relevance of findings and basic study characteristics. The review included 22 articles, which showed that most health care providers believed that unmet social needs impact health and that screening for HRSN should be a standard part of hospital care. Notable differences existed between perceived importance of HRSN and actual screening rates, however. Patients reported high receptiveness to screening in hospital encounters, but cautioned to avoid stigmatization and protect privacy when screening. Limited knowledge of resources available, lack of time, and lack of actual resources were the most frequently reported barriers to screening for HRSN. Hospital efforts to screen and address HRSN will likely be facilitated by stakeholders' positive perceptions, but common barriers to screening and referral will need to be addressed to effectively scale up efforts and impact health disparities. Mary Ann Liebert, Inc., publishers 2023-06-01 2023-06-01 /pmc/articles/PMC10278007/ /pubmed/37092962 http://dx.doi.org/10.1089/pop.2022.0279 Text en © Ricardo J. Trochez et al., 2023; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Trochez, Ricardo J.
Sharma, Sahana
Stolldorf, Deonni P.
Mixon, Amanda S.
Novak, Laurie L.
Rajmane, Amol
Dankwa-Mullan, Irene
Kripalani, Sunil
Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title_full Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title_fullStr Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title_full_unstemmed Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title_short Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives
title_sort screening health-related social needs in hospitals: a systematic review of health care professional and patient perspectives
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278007/
https://www.ncbi.nlm.nih.gov/pubmed/37092962
http://dx.doi.org/10.1089/pop.2022.0279
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