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Trends in Screening for Social Risk in US Physician Practices.

Amanda L Brewster1, Hector P Rodriguez1, Genevra F Murray2

  • 1Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley.

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Summary
This summary is machine-generated.

Social risk screening in US physician practices significantly increased from 2017 to 2022. However, less than a third of practices screened for all five common social risks, highlighting a need for further adoption and outcome assessment.

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Healthcare Policy

Background:

  • Growing recognition of social risks' impact on health outcomes.
  • Limited data on the evolution of social risk screening in US physician practices.

Purpose of the Study:

  • To analyze trends in social risk screening among US physician practices between 2017 and 2022.
  • To identify practice characteristics associated with the adoption of social risk screening.

Main Methods:

  • Repeated cross-sectional study using data from the National Survey of Healthcare Organizations and Systems (2017 and 2022).
  • Analysis of survey responses from 3442 US physician practices.
  • Examined screening for five common social risks: food, housing, utilities, interpersonal violence, and transportation.

Main Results:

  • A significant increase in practices screening for all five social risks, from 15% in 2017 to 27% in 2022 (P < .001).
  • The mean number of social risks screened per practice increased from 1.71 to 2.34.
  • Federally qualified health centers, higher innovation culture, advanced information systems, and greater payment reform exposure were associated with increased screening.

Conclusions:

  • Social risk screening has substantially increased in US physician practices but remains underutilized by a majority.
  • Further research is needed to evaluate the impact of screening and subsequent interventions on patient health outcomes.
  • Policy and incentive alignment is crucial for promoting comprehensive social risk screening and utilization.