From the Oregon Health & Science University-Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL).
J Am Board Fam Med. 2023 Apr 3;36(2):229-239. doi: 10.3122/jabfm.2022.220259R1. Epub 2023 Mar 3.
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.
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.
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.
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.
社会需求筛查和转介干预在医疗保健环境中越来越普遍。虽然远程筛查提供了一种比传统的面对面筛查更实用的替代方案，但有人担心远程筛查可能会对患者的参与度产生不利影响，包括对接受社会需求导航的兴趣。
我们使用多变量逻辑回归分析和俄勒冈州责任医疗社区（AHC）模型的数据进行了一项横断面研究。参与者是 AHC 模型中的医疗保险和医疗补助受益人，时间为 2018 年 10 月至 2020 年 12 月。因变量是患者接受社会需求导航辅助的意愿。我们包括了一个交互项（社会需求总数+筛查模式），以测试面对面筛查与远程筛查是否是一个调节变量。
该研究包括筛查出≥1 项社会需求的参与者；43%是面对面筛查，57%是远程筛查。总体而言，71%的参与者愿意接受社会需求帮助。筛查模式和交互项均与接受导航辅助的意愿无显著关联。
在呈现相似数量社会需求的患者中，结果表明，筛查模式的类型可能不会对患者接受基于医疗保健的社会需求导航的意愿产生不利影响。
