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A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts

Health care organizations increasingly recognize the impact of social needs on health outcomes. As organizations develop and scale efforts to address social needs, little is known about the optimal role for clinicians in providing social care. In this study, the authors aimed to understand how healt...

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Autores principales: Fraze, Taressa K., Beidler, Laura B., Gottlieb, Laura M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419929/
https://www.ncbi.nlm.nih.gov/pubmed/35196116
http://dx.doi.org/10.1089/pop.2021.0306
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author Fraze, Taressa K.
Beidler, Laura B.
Gottlieb, Laura M.
author_facet Fraze, Taressa K.
Beidler, Laura B.
Gottlieb, Laura M.
author_sort Fraze, Taressa K.
collection PubMed
description Health care organizations increasingly recognize the impact of social needs on health outcomes. As organizations develop and scale efforts to address social needs, little is known about the optimal role for clinicians in providing social care. In this study, the authors aimed to understand how health care organizations involve clinicians in formal social care efforts. In 2019, the authors conducted 33 semi-structured interviews with administrators at 29 health care organizations. Interviews focused on the development and implementation of formal social care programs within the health care organization and the role of clinicians within those programs. A few administrators described formal roles for primary care clinicians in organizational efforts to deliver social care. Administrators frequently described programs that were deliberately structured to shield clinicians (eg, clinicians were not expected to review social risk screening results or be involved in addressing social needs). The authors identified 4 ways that administrators felt clinicians could meaningfully engage in social care programs: (1) discuss social risks to strengthen relationships with patients; (2) adjust clinical care follow-up plans based on social risks; (3) modify prescriptions based on social risks; and (4) refer patients to other care team members who can directly assist with social risks. Administrators were hesitant to increase primary care clinicians' responsibilities by tasking them with social care activities. Defining appropriate and scalable roles for clinicians along with adequate support from other care team members may increase the effectiveness of social care programs.
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spelling pubmed-94199292022-08-30 A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts Fraze, Taressa K. Beidler, Laura B. Gottlieb, Laura M. Popul Health Manag Original Articles Health care organizations increasingly recognize the impact of social needs on health outcomes. As organizations develop and scale efforts to address social needs, little is known about the optimal role for clinicians in providing social care. In this study, the authors aimed to understand how health care organizations involve clinicians in formal social care efforts. In 2019, the authors conducted 33 semi-structured interviews with administrators at 29 health care organizations. Interviews focused on the development and implementation of formal social care programs within the health care organization and the role of clinicians within those programs. A few administrators described formal roles for primary care clinicians in organizational efforts to deliver social care. Administrators frequently described programs that were deliberately structured to shield clinicians (eg, clinicians were not expected to review social risk screening results or be involved in addressing social needs). The authors identified 4 ways that administrators felt clinicians could meaningfully engage in social care programs: (1) discuss social risks to strengthen relationships with patients; (2) adjust clinical care follow-up plans based on social risks; (3) modify prescriptions based on social risks; and (4) refer patients to other care team members who can directly assist with social risks. Administrators were hesitant to increase primary care clinicians' responsibilities by tasking them with social care activities. Defining appropriate and scalable roles for clinicians along with adequate support from other care team members may increase the effectiveness of social care programs. Mary Ann Liebert, Inc., publishers 2022-08-01 2022-08-08 /pmc/articles/PMC9419929/ /pubmed/35196116 http://dx.doi.org/10.1089/pop.2021.0306 Text en © Taressa K. Fraze et al., 2022; 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
Fraze, Taressa K.
Beidler, Laura B.
Gottlieb, Laura M.
A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title_full A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title_fullStr A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title_full_unstemmed A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title_short A Missed Opportunity? How Health Care Organizations Engage Primary Care Clinicians in Formal Social Care Efforts
title_sort missed opportunity? how health care organizations engage primary care clinicians in formal social care efforts
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419929/
https://www.ncbi.nlm.nih.gov/pubmed/35196116
http://dx.doi.org/10.1089/pop.2021.0306
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