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Patients' Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening.


ABSTRACT:

Background

Social needs screening and referral interventions are increasingly common in health care settings. Although remote screening offers a potentially more practical alternative to traditional in-person screening, there is concern that screening patients remotely could adversely affect patient engagement, including interest in accepting social needs navigation.

Methods

We conducted a cross-sectional study using a multivariable logistic regression analysis and data from the Accountable Health Communities (AHC) model in Oregon. Participants were Medicare and Medicaid beneficiaries in the AHC model from October 2018 through December 2020. The outcome variable was patients' willingness to accept social needs navigation assistance. We included an interaction term (total number of social needs + screening mode) to test whether in-person versus remote screening was an effect modifier.

Results

The study included participants who screened positive for ≥1 social need(s); 43% were screened in person and 57% remotely. Overall, 71% of participants were willing to accept help with social needs. Neither screening mode nor interaction term were significantly associated with willingness to accept navigation assistance.

Conclusions

Among patients presenting with similar numbers of social needs, results indicate that type of screening mode may not adversely affect patients' willingness to accept health care-based navigation for social needs.

SUBMITTER: Steeves-Reece AL 

PROVIDER: S-EPMC10476619 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Patients' Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening.

Steeves-Reece Anna Louise AL   Davis Melinda Marie MM   Hiebert Larson Jean J   Major-McDowall Zoe Z   King Anne Elizabeth AE   Nicolaidis Christina C   Goldberg Bruce B   Richardson Dawn Michele DM   Lindner Stephan S  

Journal of the American Board of Family Medicine : JABFM 20230303 2


<h4>Background</h4>Social needs screening and referral interventions are increasingly common in health care settings. Although remote screening offers a potentially more practical alternative to traditional in-person screening, there is concern that screening patients remotely could adversely affect patient engagement, including interest in accepting social needs navigation.<h4>Methods</h4>We conducted a cross-sectional study using a multivariable logistic regression analysis and data from the A  ...[more]

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