Kreuter Matthew, Garg Rachel, Thompson Tess, McQueen Amy, Javed Irum, Golla Balaji, Caburnay Charlene, Greer Regina
Matthew Kreuter ( mkreuter@wustl. edu ) is the Kahn Family Professor of Public Health in the Brown School, Washington University in St. Louis, in Missouri.
Rachel Garg is a PhD student in public health sciences at the Brown School, Washington University in St. Louis.
Health Aff (Millwood). 2020 Apr;39(4):679-688. doi: 10.1377/hlthaff.2019.01256.
Health care providers are increasingly screening low-income patients for social needs and making referrals to social services agencies to assist in resolving them. A major assumption of this approach is that local social services providers have the capacity and resources to help. To explore this assumption, we examined 711,613 requests related to fifty different social needs received from callers to 211 helplines in seven states during 2018. Our analyses focused on the proportion of requests for which referrals could not be made because of low capacity in the social services system. We examined the extent to which the capacity of this system varied by type of social need, ZIP code, and time of year, and we classified social needs in a new typology based on prevalence and system capacity. It is clear that health care's current screening and referral approach is appropriate for some social needs but not others.
医疗服务提供者越来越多地对低收入患者进行社会需求筛查，并将他们转介到社会服务机构以协助解决这些需求。这种方法的一个主要假设是，当地社会服务提供者有能力和资源提供帮助。为了探究这一假设，我们研究了2018年期间从七个州的211求助热线来电者那里收到的与五十种不同社会需求相关的711,613个请求。我们的分析重点是由于社会服务系统能力不足而无法进行转介的请求比例。我们研究了该系统的能力在社会需求类型、邮政编码和一年中的时间方面的变化程度，并根据患病率和系统能力将社会需求分类为一种新的类型。显然，医疗保健目前的筛查和转介方法适用于某些社会需求，但不适用于其他需求。
