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Qualitative program evaluation of social determinants of health screening and referral program

Although the integration of social determinants of health (SDH) screening and referral programs in clinical settings has rapidly grown, the voice and experience of participants within SDH programs has not been well understood in program evaluations. To qualitatively evaluate a comprehensive SDH scre...

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Autores principales: Emengo, Vivian N., Williams, Myia S., Odusanya, Rachael, Uwemedimo, Omolara T., Martinez, Johanna, Pekmezaris, Renee, Kim, Eun Ji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707594/
https://www.ncbi.nlm.nih.gov/pubmed/33259532
http://dx.doi.org/10.1371/journal.pone.0242964
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author Emengo, Vivian N.
Williams, Myia S.
Odusanya, Rachael
Uwemedimo, Omolara T.
Martinez, Johanna
Pekmezaris, Renee
Kim, Eun Ji
author_facet Emengo, Vivian N.
Williams, Myia S.
Odusanya, Rachael
Uwemedimo, Omolara T.
Martinez, Johanna
Pekmezaris, Renee
Kim, Eun Ji
author_sort Emengo, Vivian N.
collection PubMed
description Although the integration of social determinants of health (SDH) screening and referral programs in clinical settings has rapidly grown, the voice and experience of participants within SDH programs has not been well understood in program evaluations. To qualitatively evaluate a comprehensive SDH screening and referral program based in an academic primary care setting, we conducted a qualitative analysis of a semi-structured, focus group interview of 7 caregivers. We performed inductive coding representing emerging ideas from each transcript using focus group transcripts from families who participated in the SDH screening and referral program. A thematic model was created describing caregivers’ experiences with respect to screening, intake, and referral phases of the program. Caregivers reported satisfaction with structural and process-related components of screening, intake, and referral. They expressed a preference for trained patient navigators over physicians for screening and intake for they were perceived to have time to prioritize caregivers’ social needs. Caregivers reported disappointment with legal services screening, intake, and referral, citing lack of timely contact from the legal resource team and prematurity of provided legal resources. Overall, caregivers recommend the program, citing that the program provided social support, an environment where expression is encouraged, motivation to address their own health needs, and a convenient location. Overall, caregivers would recommend the program because they feel socially supported. The use of trained patient navigators appears to be instrumental to the successful implementation of the program in clinics, for navigators can provide caregivers with the appropriate time and personal attention they need to complete the survey and discuss their needs. Streamlining the referral process for evaluation of health-harming needs by the medical legal partnership was highlighted as an area for improvement.
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spelling pubmed-77075942020-12-08 Qualitative program evaluation of social determinants of health screening and referral program Emengo, Vivian N. Williams, Myia S. Odusanya, Rachael Uwemedimo, Omolara T. Martinez, Johanna Pekmezaris, Renee Kim, Eun Ji PLoS One Research Article Although the integration of social determinants of health (SDH) screening and referral programs in clinical settings has rapidly grown, the voice and experience of participants within SDH programs has not been well understood in program evaluations. To qualitatively evaluate a comprehensive SDH screening and referral program based in an academic primary care setting, we conducted a qualitative analysis of a semi-structured, focus group interview of 7 caregivers. We performed inductive coding representing emerging ideas from each transcript using focus group transcripts from families who participated in the SDH screening and referral program. A thematic model was created describing caregivers’ experiences with respect to screening, intake, and referral phases of the program. Caregivers reported satisfaction with structural and process-related components of screening, intake, and referral. They expressed a preference for trained patient navigators over physicians for screening and intake for they were perceived to have time to prioritize caregivers’ social needs. Caregivers reported disappointment with legal services screening, intake, and referral, citing lack of timely contact from the legal resource team and prematurity of provided legal resources. Overall, caregivers recommend the program, citing that the program provided social support, an environment where expression is encouraged, motivation to address their own health needs, and a convenient location. Overall, caregivers would recommend the program because they feel socially supported. The use of trained patient navigators appears to be instrumental to the successful implementation of the program in clinics, for navigators can provide caregivers with the appropriate time and personal attention they need to complete the survey and discuss their needs. Streamlining the referral process for evaluation of health-harming needs by the medical legal partnership was highlighted as an area for improvement. Public Library of Science 2020-12-01 /pmc/articles/PMC7707594/ /pubmed/33259532 http://dx.doi.org/10.1371/journal.pone.0242964 Text en © 2020 Emengo et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://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
Emengo, Vivian N.
Williams, Myia S.
Odusanya, Rachael
Uwemedimo, Omolara T.
Martinez, Johanna
Pekmezaris, Renee
Kim, Eun Ji
Qualitative program evaluation of social determinants of health screening and referral program
title Qualitative program evaluation of social determinants of health screening and referral program
title_full Qualitative program evaluation of social determinants of health screening and referral program
title_fullStr Qualitative program evaluation of social determinants of health screening and referral program
title_full_unstemmed Qualitative program evaluation of social determinants of health screening and referral program
title_short Qualitative program evaluation of social determinants of health screening and referral program
title_sort qualitative program evaluation of social determinants of health screening and referral program
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707594/
https://www.ncbi.nlm.nih.gov/pubmed/33259532
http://dx.doi.org/10.1371/journal.pone.0242964
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