Effectiveness of Social Risk Screening in Ambulatory Clinics Indicates Potential Setting for Future Interventions

• DOI: 10.1370/afm.22.s1.5701
• Publication Date: 2023-11-16T19:55:52Z
• Authors: Jake DeFrancesco; Erin Cova; Lucas Torres; Radha Patel

<h3>Context:</h3> Numerous professional societies recommend screening patients for social risk factors because unmet needs (USNs) negatively impact health outcomes. Studies show that with USNs are more likely to utilize emergency care services than primary care, so the viability of care-based screenings and interventions targeting is unknown. <h3>Objective:</h3> This study aims determine if a viable site implementation address USNs. <h3>Study Design Analysis:</h3> Researchers reviewed data from performed 9/13/2021 5/6/2022 calculated prevalence unemployment, food insecurity, low educational attainment (no GED equivalent), utilities stress, homelessness, decreased English fluency among screened. These measures were compared state-wide those between 2019 2021. Chi-Square Tests Independence (p-values &lt;0.05) used compare prevalences. <h3>Population Studied:</h3> Volunteers screened adult in waiting rooms 3 ambulatory clinics rural, suburban urban communities Connecticut. Of 2,334 approached, 2,150 consented screening. <h3>Instrument:</h3> The PRAPARE tool was screen patients. <h3>Outcome Measures:</h3> outcome sample state attainment, utility fluency, homelessness. <h3>Results:</h3> (8.9% v. 8.7%, p=0.79), stress (5.8% 5.7%, p=0.87), insecurity (4.5% 4.7%, p=0.58), (10.0% 10.3%, p=0.61) not significantly different factors. Patients had higher unemployment (9.2% 6.3%, p&lt;0.05) homelessness (3.0% 1.3%, overall. <h3>Conclusion:</h3> There no significant difference 4 6 studied, indicating can effectively identify these within unexpected as often lead access overutilization services. result indicates valuable future targeted at