Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics
Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of pr...
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| Veröffentlicht in: | PloS one 2023-09, Vol.18 (9), p.e0291682-e0291682 |
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| creator | Haddad, David Jasty, Venkata Sai Ref, Jacob Hsu, Paul Lebensohn, Patricia Tan, Tze-Woei |
| description | Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of preventable deaths, it is not yet standard of care to routinely screen and address these at preventive health appointments. The objective of this study was to identify the social needs of socioeconomically disadvantaged patients.
We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources.
Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs.
This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes. |
| doi_str_mv | 10.1371/journal.pone.0291682 |
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We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources.
Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs.
This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291682</identifier><identifier>PMID: 37725630</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Alcohol use ; Ambulatory Care Facilities ; Cardiovascular diseases ; Cardiovascular System ; Care and treatment ; Child ; Child Care ; Child Health ; Chronic illnesses ; Clinics ; Community ; Comorbidity ; Complications and side effects ; COVID-19 ; Drug use ; Electronic health records ; Engineering and Technology ; Female ; Health aspects ; Health insurance ; Health problems ; Health risks ; Hispanic Americans ; Humans ; Intervention ; Male ; Mann-Whitney U test ; Medical students ; Medicine and Health Sciences ; Pandemics ; Patients ; Pediatrics ; Preempting ; Preventable deaths ; Primary care ; Public Health ; Quality of life ; Questionnaires ; Risk factors ; Social Sciences ; Socioeconomics ; Uninsured people</subject><ispartof>PloS one, 2023-09, Vol.18 (9), p.e0291682-e0291682</ispartof><rights>Copyright: © 2023 Haddad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Haddad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Haddad et al 2023 Haddad et al</rights><rights>2023 Haddad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c693t-140c8bad56a38e975721f36681bad721a86da51e5383743c4bc2f3634cf1a4143</citedby><cites>FETCH-LOGICAL-c693t-140c8bad56a38e975721f36681bad721a86da51e5383743c4bc2f3634cf1a4143</cites><orcidid>0000-0002-6658-9482 ; 0000-0002-3181-1928 ; 0000-0002-7381-2099</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508612/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508612/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37725630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haddad, David</creatorcontrib><creatorcontrib>Jasty, Venkata Sai</creatorcontrib><creatorcontrib>Ref, Jacob</creatorcontrib><creatorcontrib>Hsu, Paul</creatorcontrib><creatorcontrib>Lebensohn, Patricia</creatorcontrib><creatorcontrib>Tan, Tze-Woei</creatorcontrib><title>Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of preventable deaths, it is not yet standard of care to routinely screen and address these at preventive health appointments. The objective of this study was to identify the social needs of socioeconomically disadvantaged patients.
We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources.
Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs.
This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes.</description><subject>Alcohol use</subject><subject>Ambulatory Care Facilities</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular System</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child Care</subject><subject>Child Health</subject><subject>Chronic illnesses</subject><subject>Clinics</subject><subject>Community</subject><subject>Comorbidity</subject><subject>Complications and side effects</subject><subject>COVID-19</subject><subject>Drug use</subject><subject>Electronic health records</subject><subject>Engineering and Technology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health insurance</subject><subject>Health problems</subject><subject>Health risks</subject><subject>Hispanic 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haddad, David</au><au>Jasty, Venkata Sai</au><au>Ref, Jacob</au><au>Hsu, Paul</au><au>Lebensohn, Patricia</au><au>Tan, Tze-Woei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-09-19</date><risdate>2023</risdate><volume>18</volume><issue>9</issue><spage>e0291682</spage><epage>e0291682</epage><pages>e0291682-e0291682</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Community-related health assessments have been shown to improve several outcomes in socioeconomically disadvantaged populations with comorbid chronic health conditions. However, while it is recognized that modifiable social determinant of health (SDH) factors might be responsible for up to 60% of preventable deaths, it is not yet standard of care to routinely screen and address these at preventive health appointments. The objective of this study was to identify the social needs of socioeconomically disadvantaged patients.
We performed a retrospective review of the socioeconomic screening questionnaires distributed to under- and uninsured patients seen at a medical student-run free primary care-based community clinic. This study included participants of all ages (0 and up), genders, languages, and ethnicities who filled out the social screening questionnaire. Socioeconomic screening questionnaires assessed the need for critical resources such as food, housing, utilities, finances, transportation, childcare, employment, education, legal support, companionship, health literacy, and community assistance. The primary study outcome was to identify unmet social needs of our medical student-run free clinic patients. We secondarily sought to identify associations between these needs and chronic health conditions. We hypothesized that patients with multiple chronic health problems and financial stressors would have the highest requests for resources.
Our retrospective review identified 264 uninsured participants who were evaluated for social needs using a screening questionnaire. Participants who reported unmet social needs had significantly more cardiovascular risk factors than those who did not. Cardiovascular comorbidities and a history of psychiatric illness were the two most common medical problems significantly associated with several unmet social needs.
This study provides support for the preemptive identification and appropriate management of physical, mental, and social care to improve disproportionate disparities in long-term health outcomes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37725630</pmid><doi>10.1371/journal.pone.0291682</doi><tpages>e0291682</tpages><orcidid>https://orcid.org/0000-0002-6658-9482</orcidid><orcidid>https://orcid.org/0000-0002-3181-1928</orcidid><orcidid>https://orcid.org/0000-0002-7381-2099</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2023-09, Vol.18 (9), p.e0291682-e0291682 |
| issn | 1932-6203 1932-6203 |
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| source | Public Library of Science (PLoS) Journals Open Access; PubMed (Medline); MEDLINE; Directory of Open Access Journals; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Alcohol use Ambulatory Care Facilities Cardiovascular diseases Cardiovascular System Care and treatment Child Child Care Child Health Chronic illnesses Clinics Community Comorbidity Complications and side effects COVID-19 Drug use Electronic health records Engineering and Technology Female Health aspects Health insurance Health problems Health risks Hispanic Americans Humans Intervention Male Mann-Whitney U test Medical students Medicine and Health Sciences Pandemics Patients Pediatrics Preempting Preventable deaths Primary care Public Health Quality of life Questionnaires Risk factors Social Sciences Socioeconomics Uninsured people |
| title | Assessing social needs among patients with cardiovascular and psychiatric comorbidities in free community health clinics |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T17%3A10%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assessing%20social%20needs%20among%20patients%20with%20cardiovascular%20and%20psychiatric%20comorbidities%20in%20free%20community%20health%20clinics&rft.jtitle=PloS%20one&rft.au=Haddad,%20David&rft.date=2023-09-19&rft.volume=18&rft.issue=9&rft.spage=e0291682&rft.epage=e0291682&rft.pages=e0291682-e0291682&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0291682&rft_dat=%3Cgale_plos_%3EA765880854%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2866364932&rft_id=info:pmid/37725630&rft_galeid=A765880854&rft_doaj_id=oai_doaj_org_article_1225b36c504f438f86ade669445a11eb&rfr_iscdi=true |