Burden of unmet health-related social needs in an academic adult primary care practice in San Francisco California

BMC Primary Care

Research

Antony Nguyen¹  Jane Jih²  Irena Cenzer³  Jennifer Morrish⁴ 

[1] Division of General Internal Medicine, Department of Medicine, University of California San Francisco, 490 Illinois St, 94158, San Francisco, CA, USA;Asian American Research Center on Health, 490 Illinois St, 94158, San Francisco, CA, USA;Division of General Internal Medicine, Department of Medicine, University of California San Francisco, 490 Illinois St, 94158, San Francisco, CA, USA;Asian American Research Center on Health, 490 Illinois St, 94158, San Francisco, CA, USA;Multiethnic Health Equity Research Center, University of California San Francisco, 490 Illinois St, 94158, San Francisco, CA, USA;Division of Geriatrics, Department of Medicine, University of California San Francisco, 4150 Clement St, 94121, San Francisco, CA, USA;University of California San Francisco Health, 1545 Divisadero St, 94143, San Francisco, CA, USA;

关键词: Health-related social needs;    Primary care;    Social care;    Health equity;    Health disparities;   

DOI  :  10.1186/s12875-023-02125-2

 received in 2022-09-12, accepted in 2023-08-15,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesUnmet health-related social needs can influence health outcomes and increase healthcare utilization. There is growing interest in integrating social needs care into healthcare delivery. We conducted an assessment of health-related social needs in an academic adult primary care practice in San Francisco, California.MethodsWe recruited a random convenience sample of adult English-, Chinese- or Spanish-speaking patients from clinic waiting rooms at the study sites to complete a self-administered, anonymous survey. We used the Accountable Health Communities Health-Related Social Needs Screening Tool for these domains: housing instability, food insecurity, transportation problems, utility help needs, interpersonal safety, financial strain, and family/community support. We conducted univariate and multivariate analyses adjusting for age, sex and survey language.Results679 patients completed the survey. Respondents were 57% female and mean age of 58 ± 18 years old. 54% of patients had at least one unmet health-related social need. The most prevalent health-related social needs were financial strain (35%), at least one issue with housing conditions (27%), and food insecurity (23%). Respondents completing the survey in Spanish had significantly higher odds of reporting food insecurity (AOR 3.97, 95%CI 1.86, 8.46), transportation problems (AOR 3.13, 95%CI 1.32, 7.43), and need for support with activities of daily living (AOR 4.58, 95%CI 2.04, 10.25) than respondents completing the survey in English.ConclusionsThe burden of unmet health-related social needs was considerable in this adult primary care practice. These findings can support a case for integrating health-related social need screening and social care in the delivery of primary care in the United States to advance health equity.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 6