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Do Patients Want Help Addressing Social Risks?

Emilia H De Marchis1, Hugh Alderwick2, Laura M Gottlieb2

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Summary
This summary is machine-generated.

Many patients screened for social risks in healthcare settings do not want assistance. This study explores reasons for this gap, considering screening tool accuracy and patient experiences, to improve health equity.

Keywords:
Delivery of Health CareHealth EquityPatient Care TeamPatient PreferencePopulation HealthRisk FactorsSocial Determinants of HealthSocial Work

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Health Equity

Background:

  • Healthcare systems increasingly screen patients for social risks.
  • A significant gap exists between patients screening positive for social risks and those desiring assistance.
  • This discrepancy impacts the effectiveness of social needs interventions in clinical settings.

Purpose of the Study:

  • To analyze the gap between positive social risk screening and patient desire for healthcare-provided assistance.
  • To explore potential reasons behind this discrepancy, including screening tool limitations and patient-specific factors.
  • To understand the implications for health equity in social care initiatives.

Main Methods:

  • Review and synthesis of multiple studies examining social risk screening and assistance-seeking behaviors.
  • Analysis of factors contributing to the divergence between identified social risks and expressed need for support.
  • Exploration of patient preferences, priorities, and lived experiences in the context of social risk management.

Main Results:

  • Studies consistently show a lower proportion of patients desire assistance compared to those screening positive for social risks.
  • Explanations for the gap include limitations in screening tool validity and reliability.
  • Patient-reported factors such as personal priorities and distrust in healthcare systems influence help-seeking.

Conclusions:

  • The effectiveness of healthcare-based social risk interventions is limited by the gap between screening and assistance uptake.
  • Addressing screening tool fallibility and understanding patient perspectives are crucial for improving social care delivery.
  • Closing this gap is essential for advancing health equity and ensuring social needs interventions meet patient needs.