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Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics
BACKGROUND: Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508612/ https://www.ncbi.nlm.nih.gov/pubmed/37725630 http://dx.doi.org/10.1371/journal.pone.0291682 |
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author | Haddad, David Jasty, Venkata Sai Ref, Jacob Hsu, Paul Lebensohn, Patricia Tan, Tze-Woei |
author_facet | Haddad, David Jasty, Venkata Sai Ref, Jacob Hsu, Paul Lebensohn, Patricia Tan, Tze-Woei |
author_sort | Haddad, David |
collection | PubMed |
description | BACKGROUND: Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of preventable deaths, it is not yet standard of care to routinely screen and address these at preventive health appointments. The objective of this study was to identify the social needs of socioeconomically disadvantaged patients. METHODS: We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources. RESULTS: Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs. CONCLUSION: This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes. |
format | Online Article Text |
id | pubmed-10508612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-105086122023-09-20 Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics Haddad, David Jasty, Venkata Sai Ref, Jacob Hsu, Paul Lebensohn, Patricia Tan, Tze-Woei PLoS One Research Article BACKGROUND: Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of preventable deaths, it is not yet standard of care to routinely screen and address these at preventive health appointments. The objective of this study was to identify the social needs of socioeconomically disadvantaged patients. METHODS: We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources. RESULTS: Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs. CONCLUSION: This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes. Public Library of Science 2023-09-19 /pmc/articles/PMC10508612/ /pubmed/37725630 http://dx.doi.org/10.1371/journal.pone.0291682 Text en © 2023 Haddad et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Haddad, David Jasty, Venkata Sai Ref, Jacob Hsu, Paul Lebensohn, Patricia Tan, Tze-Woei Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title_full | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title_fullStr | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title_full_unstemmed | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title_short | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
title_sort | assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508612/ https://www.ncbi.nlm.nih.gov/pubmed/37725630 http://dx.doi.org/10.1371/journal.pone.0291682 |
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