Abstract:
:Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, and 65+), ethnicity (Hispanic, non-Hispanic), and language (English, Spanish) to explore priority social needs, images to depict social need categories, and acceptability of a computer-based program to identify these needs. The top three social need domains were access to care, health promoting behaviors, and family responsibilities. Participants voiced diverse social needs with notable differences across demographic groups. Both the 36-64 year old age groups and Spanish-speaking Hispanic patients were disproportionately impacted by unmet social needs. Perceptions regarding use of an interactive computer program to assess social needs varied by age. Most participants noted that a tablet computer was an acceptable venue to share social needs, though a tutorial may be needed for patients in the 65 and older group. Lastly, participants' ranking of icons were compiled to identify recognizable images of social need categories for those with literacy challenges. Unmet social needs were identified across all groups. This composite of information (priority social needs and images to represent them) will allow for creation of a tailored social need screening tool within an urban Hispanic population.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Careyva BA,Hamadani R,Friel T,Coyne CAdoi
10.1007/s10900-017-0396-6subject
Has Abstractpub_date
2018-02-01 00:00:00pages
137-145issue
1eissn
0094-5145issn
1573-3610pii
10.1007/s10900-017-0396-6journal_volume
43pub_type
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更新日期:2015-08-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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