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Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers
INTRODUCTION: Rural and under-resourced urban communities face unique challenges in addressing patients’ social determinants of health needs (SDoH). Community health workers (CHWs) can support patients experiencing social needs, yet little is known about how rural and under-resourced primary care cl...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693805/ https://www.ncbi.nlm.nih.gov/pubmed/38041409 http://dx.doi.org/10.1177/21501319231214513 |
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author | Bridges, Kristina M. LeMaster, Joseph W. Parente, Daniel J. Pacheco, Christina M. Schultz, Christine Morrow, Emily Corriveau, Erin Miras Neira, Ton Greiner, K. Allen Woodward, Jennifer Anders- Rumsey, Jordan Cirotski, Daniel Finocchario-Kessler, Sarah Ellerbeck, Edward F. |
author_facet | Bridges, Kristina M. LeMaster, Joseph W. Parente, Daniel J. Pacheco, Christina M. Schultz, Christine Morrow, Emily Corriveau, Erin Miras Neira, Ton Greiner, K. Allen Woodward, Jennifer Anders- Rumsey, Jordan Cirotski, Daniel Finocchario-Kessler, Sarah Ellerbeck, Edward F. |
author_sort | Bridges, Kristina M. |
collection | PubMed |
description | INTRODUCTION: Rural and under-resourced urban communities face unique challenges in addressing patients’ social determinants of health needs (SDoH). Community health workers (CHWs) can support patients experiencing social needs, yet little is known about how rural and under-resourced primary care clinics are screening for SDoH or utilizing CHWs. METHODS: Interviews were conducted with primary care clinic providers and managers across a geographically large and predominately rural state to assess screening practices for SDoH and related community resources, and perspectives on using CHWs to address SDoH. Interviews were conducted by phone, recorded, and transcribed. Data were analyzed using thematic analysis. We completed interviews with 27 respondents (12 providers and 15 clinic managers) at 26 clinics. RESULTS: Twelve (46.1%) clinics had a standardized process for capturing SDoH, but this was primarily limited to Medicare wellness visits. Staffing and time were identified as barriers to proper SDoH screening. Lack of transportation and affordable medication were the most cited SDoH. While respondents were all aware of CHWs, only 8 (30.8%) included a CHW on their care team. Perceived barriers to engaging CHWs included cost, space, and availability of qualified CHWs. Perceived benefits of engaging CHWs in their practice were: assisting patients with navigating resources and programs, relieving clinical staff of non-medical tasks, and bridging language barriers. CONCLUSIONS: Rural and under-resourced primary care clinics need help in identifying and addressing SDoH. CHWs could play an important part in addressing social needs and promoting preventive care if financial constraints could be addressed and local CHWs could be trained. |
format | Online Article Text |
id | pubmed-10693805 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-106938052023-12-04 Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers Bridges, Kristina M. LeMaster, Joseph W. Parente, Daniel J. Pacheco, Christina M. Schultz, Christine Morrow, Emily Corriveau, Erin Miras Neira, Ton Greiner, K. Allen Woodward, Jennifer Anders- Rumsey, Jordan Cirotski, Daniel Finocchario-Kessler, Sarah Ellerbeck, Edward F. J Prim Care Community Health Original Research INTRODUCTION: Rural and under-resourced urban communities face unique challenges in addressing patients’ social determinants of health needs (SDoH). Community health workers (CHWs) can support patients experiencing social needs, yet little is known about how rural and under-resourced primary care clinics are screening for SDoH or utilizing CHWs. METHODS: Interviews were conducted with primary care clinic providers and managers across a geographically large and predominately rural state to assess screening practices for SDoH and related community resources, and perspectives on using CHWs to address SDoH. Interviews were conducted by phone, recorded, and transcribed. Data were analyzed using thematic analysis. We completed interviews with 27 respondents (12 providers and 15 clinic managers) at 26 clinics. RESULTS: Twelve (46.1%) clinics had a standardized process for capturing SDoH, but this was primarily limited to Medicare wellness visits. Staffing and time were identified as barriers to proper SDoH screening. Lack of transportation and affordable medication were the most cited SDoH. While respondents were all aware of CHWs, only 8 (30.8%) included a CHW on their care team. Perceived barriers to engaging CHWs included cost, space, and availability of qualified CHWs. Perceived benefits of engaging CHWs in their practice were: assisting patients with navigating resources and programs, relieving clinical staff of non-medical tasks, and bridging language barriers. CONCLUSIONS: Rural and under-resourced primary care clinics need help in identifying and addressing SDoH. CHWs could play an important part in addressing social needs and promoting preventive care if financial constraints could be addressed and local CHWs could be trained. SAGE Publications 2023-12-01 /pmc/articles/PMC10693805/ /pubmed/38041409 http://dx.doi.org/10.1177/21501319231214513 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Bridges, Kristina M. LeMaster, Joseph W. Parente, Daniel J. Pacheco, Christina M. Schultz, Christine Morrow, Emily Corriveau, Erin Miras Neira, Ton Greiner, K. Allen Woodward, Jennifer Anders- Rumsey, Jordan Cirotski, Daniel Finocchario-Kessler, Sarah Ellerbeck, Edward F. Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title | Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title_full | Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title_fullStr | Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title_full_unstemmed | Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title_short | Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers |
title_sort | assessing social needs and engaging community health workers in underserved kansas counties: insights from primary care providers and clinic managers |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693805/ https://www.ncbi.nlm.nih.gov/pubmed/38041409 http://dx.doi.org/10.1177/21501319231214513 |
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