Evidence mapPaperPMID 39586330Full record

ArticlePreventive medicine2025

Health-related social needs screening, reporting, and assistance in a large health system.

Elyse N Llamocca, Andrew S Bossick, Denise White Perkins, Brian K Ahmedani, Rob Behrendt, Anna Bloemen, Angela Murphy, Aishwarya Kulkarni, Elizabeth Lockhart

Abstract read
In one paragraph

Article in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Elyse N LlamoccaCenter for Health Policy and Health Services Research, Henry Ford Health, One Ford Place, Suite 5E, Detroit, MI 48202, USA. Electronic address: elyse.llamocca@nationwidechildrens.org.
Andrew S BossickPublic Health Sciences, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: abossic1@hfhs.org.
Denise White PerkinsDepartment of Family Medicine, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: dwhite2@hfhs.org.
Brian K AhmedaniCenter for Health Policy and Health Services Research, Henry Ford Health, One Ford Place, Suite 5E, Detroit, MI 48202, USA; Behavioral Health Services, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: bahmeda1@hfhs.org.
Rob BehrendtHeart and Vascular Service Line, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: rbehren9@hfhs.org.
Anna BloemenValue Based Care Analytics, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: abloeme1@hfhs.org.
Angela MurphyPatient Engagement, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: amurphy4@hfhs.org.
Aishwarya KulkarniPublic Health Sciences, Henry Ford Health, One Ford Place, Detroit, MI 48202, USA. Electronic address: akulkar3@hfhs.org.
Elizabeth LockhartCenter for Health Policy and Health Services Research, Henry Ford Health, One Ford Place, Suite 5E, Detroit, MI 48202, USA. Electronic address: elockha1@hfhs.org.

Funding

Embedded Mental Health Services Postdoctoral Research Training in Health SystemsT32MH125792 · HENRY FORD HEALTH SYSTEM · 2025 to 2025
$280k
NIMH NIH HHS T32 MH125792
6 · The paper itself

Abstract

backgroundNational mandates require screening for and addressing health-related social needs (HRSNs) in healthcare settings. However, differences in HRSN screening process (i.e., completed screenings, screening results, documented offer of assistance, documented assistance request) have been reported by population subgroup. Knowledge of the most effective HRSN screening and intervention methods is limited. We sought to describe differences in completed HRSN screenings, screening results, and assistance request rates across patient and healthcare visit characteristics.

methodsWe examined data from all patients aged ≥18 years and residing in the US receiving services at a large, Midwestern healthcare system with a goal to screen all patients for HRSN at least once annually between July 2021-June 2023 (n = 1,190,488). We examined the proportion of patients with any HRSN screening, with any reported HRSN, asked whether they wanted assistance, or who requested assistance for a reported HRSN stratified by patient demographics and healthcare visit characteristics (i.e., payer, screening location, who completed the screening).

resultsLess than half of eligible patients (47.0 %) were screened for HRSNs. About one-sixth (16.9 %) reported any HRSN. Although most patients reporting HRSNs were asked whether they wanted assistance, only about one-quarter (26.8 %) responded affirmatively. Proportions included in each step of the HRSN screening process significantly differed by patient and healthcare visit characteristics. DISCUSSION: This study is one of the first to investigate various steps of a population-wide HRSN screening program. Our findings suggest that examining differences in HRSN screening process by population subgroup is key to addressing HRSNs through a health equity lens.

Indexed as

Mass ScreeningAdolescentAdultAgedFemaleHumansMaleMiddle AgedMidwestern United StatesNeeds AssessmentUnited StatesYoung AdultHealth services researchHealth status disparitiesScreeningSocial determinants of healthSocial needs

Identifiers

PMID39586330
PMCPMC11648936

What Socratic holds

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Registered trials

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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.