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Federally Qualified Health Centers' Screening for Social Risk Factors and Health Outcomes.
Ganisher Davlyatov1, Seongwon Choi, Nancy M Borkowski
1Author Affiliations: Department of Health Administration and Policy, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (Dr Davlyatov); Department of Management, College of Business and Economics, California State University Los Angeles, Los Angeles, California (Dr Choi); and Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama (Drs Borkowski, Hearld, and Aswani).
Federally Qualified Health Centers (FQHCs) screening for social risk factors (SRFs) is linked to better patient health outcomes. FQHCs that screened for SRFs showed higher rates of controlled diabetes and hypertension.
Area of Science:
- Public Health
- Health Services Research
- Social Determinants of Health
Background:
- Federally Qualified Health Centers (FQHCs) are vital for addressing health-related social needs.
- The impact of social risk factor (SRF) screening on patient health outcomes within FQHCs is not well-understood.
Purpose of the Study:
- To investigate the association between SRF screening practices in FQHCs and patient health outcomes, specifically focusing on controlled diabetes and hypertension.
Main Methods:
- Analysis of data from 1352 FQHCs using the 2019 Uniform Data System.
- Ordinary least squares regression was employed to assess the relationship between SRF screening and the percentage of patients with adequately controlled diabetes and hypertension.
Main Results:
- Approximately 71% of the studied FQHCs reported collecting SRFs.
- FQHCs that screened for SRFs demonstrated significantly higher percentages of patients with adequately controlled diabetes (69.5% vs. 67.0%, P < .001) and hypertension (63.8% vs. 59.4%, P < .001) compared to those not screening.
Conclusions:
- SRF screening is associated with improved patient health outcomes in FQHC settings.
- Implementing SRF screening may be a valuable strategy for enhancing chronic disease management within FQHCs.
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