Social risks and social needs in a health insurance exchange sample: a longitudinal evaluation of utilization.
Background: Health systems are increasingly attempting to intervene on social adversity as a strategy to improve health care outcomes. To inform health system efforts to screen for social adversity, we sought to explore the stability of social risk and interest in assistance over time and to evaluat...
| Publicado en: | BMC Health Services Research Vol. 22; pp. 1 - 11 |
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| Autores principales: | , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
BioMed Central
11/28/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160457380&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160457380 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 11/28/2022 vid: 22 pid: 24147 pub: BioMed Central artinfo: ui: 160457380 160457380 NLM36443789 160457380 10.1186/s12913-022-08740-6 NLM36443789 160457380 ppf: 1 ppct: 10 formats: tig: atl: Social risks and social needs in a health insurance exchange sample: a longitudinal evaluation of utilization. aug: au: Lewis, Cara C. Jones, Salene M. W. Wellman, Robert Sharp, Adam L. Gottlieb, Laura M. Banegas, Matthew P. De Marchis, Emilia Steiner, John F. affil: Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1600, 98101, Seattle, WA, USA sug: subj: Health Insurance Exchanges Public Assistance Patient Attitudes Critical Care Health Facilities Human Comparative Studies Multicenter Studies Randomized Controlled Trials Evaluation Research Funding Source ab: Background: Health systems are increasingly attempting to intervene on social adversity as a strategy to improve health care outcomes. To inform health system efforts to screen for social adversity, we sought to explore the stability of social risk and interest in assistance over time and to evaluate whether the social risk was associated with subsequent healthcare utilization.Methods: We surveyed Kaiser Permanente members receiving subsidies from the healthcare exchange in Southern California to assess their social risk and desire for assistance using the Accountable Health Communities instrument. A subset of initial respondents was randomized to be re-surveyed at either three or six months later.Results: A total of 228 participants completed the survey at both time points. Social risks were moderate to strongly stable across three and six months (Kappa range = .59-.89); however, social adversity profiles that included participants' desire for assistance were more labile (3-month Kappa = .52; 95% CI = .41-.64 & 6-month Kappa = .48; 95% CI = .36-.6). Only housing-related social risks were associated with an increase in acute care (emergency, urgent care) six months after initial screening; no other associations between social risk and utilization were observed.Conclusions: This study suggests that screening for social risk may be appropriate at intervals of six months, or perhaps longer, but that assessing desire for assistance may need to occur more frequently. Housing risks were associated with increases in acute care. Health systems may need to engage in screening and referral to resources to improve overall care and ultimately patient total health. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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