At the time this work was conducted, Ashley M. Kranz, Ammarah Mahmud, and Justin W. Timbie were with RAND Health Care, RAND Corporation, Arlington, VA. Denis Agniel and Cheryl Damberg were with RAND Health Care, RAND Corporation, Santa Monica, CA.
Am J Public Health. 2020 Apr;110(4):567-573. doi: 10.2105/AJPH.2019.305519. Epub 2020 Feb 20.
To describe the types of social services provided at community health centers (CHCs), characteristics of CHCs providing these services, and the association between on-site provision and health care quality. We surveyed CHCs in 12 US states and the District of Columbia during summer 2017 (n = 208) to identify referral to and provision of services to address 8 social needs. Regression models estimated factors associated with the provision of social services by CHCs and the association between providing services and health care quality (an 8-item composite). CHCs most often offered on-site assistance for needs related to food or nutrition (43%), interpersonal violence (32%), and housing (30%). Participation in projects with community-based organizations was associated with providing services on-site (odds ratio = 2.48; = .018). On-site provision was associated with better performance on measures of health care quality (e.g., each additional social service was associated with a 4.3 percentage point increase in colorectal cancer screenings). Some CHCs provide social services on-site, and this was associated with better performance on measures of health care quality. Health care providers are increasingly seeking to identify and address patients' unmet social needs, and on-site provision of services is 1 strategy to consider.
描述社区卫生中心（CHC）提供的社会服务类型、提供这些服务的 CHC 的特征，以及现场提供服务与医疗保健质量之间的关联。我们在 2017 年夏天对美国 12 个州和哥伦比亚特区的 CHC 进行了调查（n=208），以确定针对 8 项社会需求的转介和服务提供情况。回归模型估计了 CHC 提供社会服务的相关因素，以及提供服务与医疗保健质量（8 项综合指标）之间的关联。CHC 最常提供现场援助，以满足与食物或营养（43%）、人际暴力（32%）和住房（30%）相关的需求。参与与社区组织合作的项目与现场提供服务相关（优势比=2.48；P=0.018）。现场提供服务与医疗保健质量指标的更好表现相关（例如，每增加一项社会服务，结直肠癌筛查的比例就会增加 4.3 个百分点）。一些 CHC 提供现场社会服务，这与医疗保健质量指标的更好表现相关。医疗保健提供者越来越多地寻求识别和满足患者未满足的社会需求，现场提供服务是需要考虑的 1 种策略。
