ArticleJournal of the American Geriatrics Society2021
Connecting Provider to home: A home-based social intervention program for older adults.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review.BMC geriatrics · 2026Pooled it
- Collecting and using social needs data in health settings: a systematic review of the literature on health service utilization and costs.BMC health services research · 2025Pooled it
- Contextualizing Age-Friendly Care Within Social Drivers of Health.Journal of the American Geriatrics Society · 2026Article
- Effectiveness and Stakeholder Views of Community-Based Allied Health on Acute Care Utilization: A Mixed Methods Review.Journal of multidisciplinary healthcare · 2024Review
- Gathering speed and countering tensions in the rapid learning health system.Learning health systems · 2023Article
- Racial Health Equity and Social Needs Interventions: A Review of a Scoping Review.JAMA network open · 2023Article
- Home-based primary care visits by nurse practitioners.Journal of the American Association of Nurse Practitioners · 2022Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectivePatients with multiple medical conditions and complex social issues are at risk for high utilization and poor outcomes. The Connecting Provider to Home program deployed teams of a social worker and a community health worker (CHW) to support patients with social issues and access to primary care. Our objectives were to examine the impact of the program on utilization and satisfaction with care among older adults with complex social and medical issues.
designRetrospective quasi-experimental observational study with matched comparator group.
settingCommunity-based program in Southern California.
participantsFour hundred twenty community dwelling adults.
interventionCommunity-based healthcare program delivered by a social worker and CHW team for older adults with complex medical and social needs. MEASUREMENTS: Acute hospitalization and emergency department (ED) visits in the 12 months preceding and following enrollment in the pilot program. A "difference-in-difference" analysis using a matched comparator group was conducted. Comparator group data of patients receiving usual care were obtained. Surveys were conducted to assess patient satisfaction and experiences with the program.
resultsThe mean age of patients was 74 years, and the program demonstrated statistically significant reductions in acute hospitalizations and ED use compared with 700 comparator patients. Pre/post-acute hospitalizations and ED visits were reduced in the intervention group. The average per patient per year reduction in acute hospitalizations was -0.66, whereas the average per patient reduction in ED use was -0.57. Patients enrolled in the program reported high levels of satisfaction and rated the program favorably.
conclusionsA care model with a social worker and CHW can be linked to primary care to address patient social needs and potentially reduce utilization of healthcare services and enhance patient experiences with care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.