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Patient Interest in Receiving Assistance with Self-Reported Social Risks
Inga Gruß1, Alexandra Varga2, Neon Brooks2
1From the Kaiser Permanente Center for Health Research, Portland, OR (IG, AV, NB, RG, MPB). inga.gruss@kpchr.org.
Journal of the American Board of Family Medicine : JABFM
|September 18, 2021
Summary
Many patients with social risks in healthcare do not request help. Over half of patients who reported social risks, like financial hardship, wanted assistance, indicating a need for tailored support.
Area of Science:
- Health Services Research
- Social Determinants of Health
- Patient Engagement
Background:
- Social risk factors significantly impact patient health outcomes.
- Integrated health systems are increasingly screening for social needs.
- Understanding patient help-seeking behavior is crucial for effective interventions.
Purpose of the Study:
- To evaluate the concordance between reported social risks and requests for assistance among patients.
- To identify factors associated with patients' desire for help with specific social risk domains.
Main Methods:
- Analysis of social risk screening data from Kaiser Permanente Northwest (KPNW) members (n=32,865).
- Examined self-reported social risks and desire for help using logistic regression.
- Data collected between June 1, 2017, and December 31, 2019.
Main Results:
- Approximately 24% of screened patients reported at least one social risk.
- Over half of patients reporting a risk were concordant (i.e., desired help).
- Medical financial hardship showed the highest risk/help concordance (81.7%).
Conclusions:
- Not all reported social needs translate into requests for assistance.
- Findings highlight the need to explore reasons for non-acceptance of help.
- Future interventions should address patient concordance and barriers to care for high social risk populations.
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