Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Article CommentaryCommentary

Do Patients Want Help Addressing Social Risks?

Emilia H. De Marchis, Hugh Alderwick and Laura M. Gottlieb
The Journal of the American Board of Family Medicine March 2020, 33 (2) 170-175; DOI: https://doi.org/10.3122/jabfm.2020.02.190309
Emilia H. De Marchis
From the Department of Family & Community Medicine, University of California–San Francisco, San Francisco, CA (EHD, LMG); Health Foundation, London, UK (HA).
MD, MAS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Hugh Alderwick
From the Department of Family & Community Medicine, University of California–San Francisco, San Francisco, CA (EHD, LMG); Health Foundation, London, UK (HA).
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Laura M. Gottlieb
From the Department of Family & Community Medicine, University of California–San Francisco, San Francisco, CA (EHD, LMG); Health Foundation, London, UK (HA).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Adler NE,
    2. Stewart J
    . Health disparities across the lifespan: meaning, methods, and mechanisms. Ann N Y Acad Sci 2010;1186:5–23.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Stringhini S,
    2. Sabia S,
    3. Shipley M,
    4. et al
    . Association of socioeconomic position with health behaviors and mortality. JAMA 2010;303:1159–66.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. McGinnis JM,
    2. Williams-Russo P,
    3. Knickman JR
    . The case for more active policy attention to health promotion. Health Aff (Millwood) 2002;21:78–93.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Stenmark SH,
    2. Steiner JF,
    3. Marpadga S,
    4. DeBor M,
    5. Underhill K,
    6. Seligman H
    . Lessons learned from implementation of the food insecurity screening and referral program at Kaiser Permanente Colorado. Perm J 2018;22:18–093.
    OpenUrl
  5. 5.↵
    1. Swavely D,
    2. Whyte V,
    3. Steiner JF,
    4. Freeman SL
    . Complexities of addressing food insecurity in an urban population. Popul Health Manag 2019;22:300–7.
    OpenUrl
  6. 6.↵
    1. Tong ST,
    2. Liaw WR,
    3. Kashiri PL,
    4. et al
    . Clinician experiences with screening for social needs in primary care. J Am Board Fam Med 2018;31:351–63.
    OpenUrlAbstract/FREE Full Text
  7. 7.↵
    1. Gold R,
    2. Bunce A,
    3. Cowburn S,
    4. et al
    . Adoption of social determinants of health EHR tools by community health centers. Ann Fam Med 2018;16:399–407.
    OpenUrlAbstract/FREE Full Text
  8. 8.↵
    American Academy of Family Physicians. The EveryONE Project: Screening Tools and Resources to Advance Health Equity. 2018. Available from: https://www.aafp.org/patient-care/social-determinants-of-health/everyone-project/tools.html#patients. Accessed August 6, 2018.
  9. 9.↵
    American Academy of Family Physicians. Neighborhood Navigator. 2018. Available from: https://www.aafp.org/patient-care/social-determinants-of-health/everyone-project/neighborhood-navigator.html. Accessed August 6, 2018.
  10. 10.↵
    Council on Community Pediatrics. Poverty and child health in the United States. Pediatrics 2016;137:
  11. 11.↵
    1. Daniel H,
    2. Bornstein SS,
    3. Kane GC,
    4. Physicians H
    . Addressing social determinants to improve patient care and promote health equity: An American College of Physicians position paper. Ann Intern Med 2018;168:577–8.
    OpenUrl
  12. 12.↵
    1. Arnett DK,
    2. Blumenthal RS,
    3. Albert MA,
    4. et al
    . ACC/AHA Guideline on the primary prevention of cardiovascular disease. J Am Coll Cardiol 2019;74:e177–e232.
    OpenUrlFREE Full Text
  13. 13.↵
    National Academies of Sciences, Engineering, and Medicine. Integrating social care into the delivery of health care: moving upstream to improve the nation’s health. Washington, DC: National Academies Press (US); 2019.
  14. 14.↵
    1. Hassan A,
    2. Scherer EA,
    3. Pikcilingis A,
    4. et al
    . Improving social determinants of health: effectiveness of a Web-based intervention. Am J Prev Med 2015;49:822–31.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Hassan A,
    2. Blood EA,
    3. Pikcilingis A,
    4. et al
    . Youths’ health-related social problems: concerns often overlooked during the medical visit. J Adolesc Health 2013;53:265–71.
    OpenUrl
  16. 16.↵
    1. Wylie SA,
    2. Hassan A,
    3. Krull EG,
    4. et al
    . Assessing and referring adolescents’ health-related social problems: qualitative evaluation of a novel web-based approach. J Telemed Telecare 2012;18:392–8.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. De Marchis EH,
    2. Hessler D,
    3. Fichtenberg C,
    4. et al
    . Part I: A quantitative study of social risk screening acceptability in patients and caregivers. Am J Prev Med 2019;57:S25–S37.
    OpenUrl
  18. 18.↵
    1. Byhoff E,
    2. De Marchis EH,
    3. Hessler D,
    4. et al
    . Part II: A qualitative study of social risk screening acceptability in patients and caregivers. Am J Prev Med 2019;57:S38–46.
    OpenUrl
  19. 19.↵
    1. Bottino CJ,
    2. Rhodes ET,
    3. Kreatsoulas C,
    4. Cox JE,
    5. Fleegler EW
    . Food insecurity screening in pediatric primary care: can offering referrals help identify families in need? Acad Pediatr 2017;17:497–503.
    OpenUrlCrossRefPubMed
  20. 20.↵
    1. Fox CK,
    2. Cairns N,
    3. Sunni M,
    4. Turnberg GL,
    5. Gross AC
    . Addressing Food insecurity in a pediatric weight management clinic: a pilot intervention. J Pediatr Health Care 2016;30:e11–e15.
    OpenUrl
  21. 21.↵
    1. Knowles M,
    2. Khan S,
    3. Palakshappa D,
    4. et al
    . Successes, challenges, and considerations for integrating referral into food insecurity screening in pediatric settings. J Health Care Poor Underserved 2018;29:181–91.
    OpenUrl
  22. 22.↵
    1. Martel ML,
    2. Klein LR,
    3. Hager KA,
    4. Cutts DB
    . Emergency department experience with novel electronic medical record order for referral for food resources. West J Emerg Med 2018;19:232–7.
    OpenUrl
  23. 23.↵
    1. Schickedanz A,
    2. Sharp A,
    3. Hu YR,
    4. et al
    . Impact of social needs navigation on utilization among high utilizers in a large integrated health system: a quasi-experimental study. J Gen Intern Med 2019;34:2382–9.
    OpenUrl
  24. 24.↵
    1. Uwemedimo OT,
    2. May H
    . Disparities in utilization of social determinants of health referrals among children in immigrant families. Front Pediatr 2018;6:207.
    OpenUrl
  25. 25.↵
    1. Garg A,
    2. Sarkar S,
    3. Marino M,
    4. Onie R,
    5. Solomon BS
    . Linking urban families to community resources in the context of pediatric primary care. Patient Educ Couns 2010;79:251–4.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Eismann EA,
    2. Theuerling J,
    3. Maguire S,
    4. Hente EA,
    5. Shapiro RA
    . Integration of the Safe Environment for Every Kid (SEEK) model across primary care settings. Clin Pediatr (Phila) 2019;58:166–76.
    OpenUrl
  27. 27.↵
    1. Veinot TC,
    2. Mitchell H,
    3. Ancker JS
    . Good intentions are not enough: how informatics interventions can worsen inequality. J Am Med Informat Assoc 2018;25:1080–8.
    OpenUrl
  28. 28.↵
    1. Henrikson NB,
    2. Blasi PR,
    3. Dorsey CN,
    4. et al
    . Psychometric and pragmatic properties of social risk screening tools: a systematic review. Am J Prev Med 2019;57:S13–S24.
    OpenUrl
  29. 29.↵
    The Accountable Health Communities Health-Related Social Needs Screening Tool. 2018. Available from: https://innovation.cms.gov/files/worksheets/ahcm-screeningtool.pdf. Accessed March 18, 2019.
  30. 30.↵
    PRAPARE. 2016. Available from: http://www.nachc.org/research-and-data/prapare/. Accessed November 20, 2019.
  31. 31.↵
    1. Cartier Y,
    2. Fichtenberg CM,
    3. Gottlieb LM
    . Screening tools comparison. In: SIREN, ed. sirenetwork.ucsf.edu: San Francisco, CA: University of California; 2018.
  32. 32.↵
    1. Hager ER,
    2. Quigg AM,
    3. Black MM,
    4. et al
    . Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics 2010;126:e26–e32.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Rabin BA,
    2. Lewis CC,
    3. Norton WE,
    4. et al
    . Measurement resources for dissemination and implementation research in health. Implementation Sci 2016;11:9.
    OpenUrl
  34. 34.↵
    1. Garg A,
    2. Sheldrick C,
    3. Dworkin PH
    . The inherent fallibility of validated screening tools for social determinants of health. Academic pediatrics 2018;18:123–4.
    OpenUrl
  35. 35.↵
    1. Wilson JMG,
    2. Jungner G
    . Principles and practice of screening for disease France. London, UK: World Health Organization; 1968.
  36. 36.↵
    1. Arroll B,
    2. Goodyear-Smith F,
    3. Crengle S,
    4. et al
    . Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med 2010;8:348–53.
    OpenUrlAbstract/FREE Full Text
  37. 37.↵
    Institute of Medicine. Capturing social and behavioral domains and measures in electronic health records: phase 2. Atlanta, GA: The National Academies Press; 2014.
  38. 38.↵
    1. Alderwick H,
    2. Gottlieb LM
    . Meanings and misunderstandings: A social determinants of health lexicon for health care systems. Milbank Q 2019;97:407–419.
    OpenUrl
  39. 39.↵
    1. Marpadga S,
    2. Fernandez A,
    3. Leung J,
    4. Tang A,
    5. Seligman H,
    6. Murphy EJ
    . Challenges and successes with food resource referrals for food-insecure patients with diabetes. Perm J 2019;23.
  40. 40.↵
    1. Sharma AE,
    2. Knox M,
    3. Mleczko VL,
    4. Olayiwola JN
    . The impact of patient advisors on healthcare outcomes: a systematic review. BMC Health Serv Res 2017;17:693.
    OpenUrlPubMed
  41. 41.↵
    1. Gottlieb L,
    2. Fichtenberg C,
    3. Alderwick H,
    4. Adler N
    . Social determinants of health: What’s a health care system to do? J Healthcare Manage/Am Coll Healthcare Exec 2019;64:243–57.
    OpenUrl
  42. 42.↵
    1. De Marchis EH,
    2. Torres JM,
    3. Benesch T,
    4. et al
    . Interventions addressing food insecurity in health care settings: a systematic review. Ann Fam Med 2019;17:436–47.
    OpenUrlAbstract/FREE Full Text
  43. 43.↵
    1. Tung EL,
    2. Abramsohn EM,
    3. Boyd K,
    4. et al
    . Impact of a low-intensity resource referral intervention on patients’ knowledge, beliefs, and use of community resources: results from the CommunityRx trial. J Gen Intern Med 2019 [Epub ahead of print].
  44. 44.↵
    Oregon Primary Care Association. Empathic Inquiry. 2019. Available from: https://www.orpca.org/initiatives/empathic-inquiry. Accessed March 31, 2019.
  45. 45.↵
    Kaiser Family Foundation. Changes to “public charge” inadmissibility rule: implications for health and health coverage. In: Kaiser Family Foundation, ed. Available from: https://www.kff.org/disparities-policy/fact-sheet/public-charge-policies-for-immigrants-implications-for-health-coverage/2019.
  46. 46.↵
    1. Adler NE,
    2. Glymour MM,
    3. Fielding J
    . Addressing social determinants of health and health inequalities. JAMA 2016;316:1641–2.
    OpenUrl
  47. 47.↵
    1. Marmot M,
    2. Allen JJ
    . Social determinants of health equity. Am J Public Health 2014;104:S517–S519.
    OpenUrlCrossRefPubMed
  48. 48.↵
    1. Penman-Aguilar A,
    2. Talih M,
    3. Huang D,
    4. Moonesinghe R,
    5. Bouye K,
    6. Beckles G
    . Measurement of health disparities, health inequities, and social determinants of health to support the advancement of health equity. J Public Health Manag Pract 2016;22:S33–S42.
    OpenUrl
  49. 49.↵
    1. Moscrop A,
    2. Ziebland S,
    3. Roberts N,
    4. Papanikitas A
    . A systematic review of reasons for and against asking patients about their socioeconomic contexts. Int J Equity Health 2019;18:
  50. 50.↵
    1. Thomas SB,
    2. Quinn SC,
    3. Butler J,
    4. Fryer CS,
    5. Garza MA
    . Toward a fourth generation of disparities research to achieve health equity. Annu Rev Public Health 2011;32:399–416.
    OpenUrlCrossRefPubMedWeb of Science
  51. 51.↵
    1. Gottlieb LM,
    2. Alderwick H
    . Integrating social and medical care: could it worsen health and increase inequity? Ann Fam Med 2019;17:77–81.
    OpenUrlAbstract/FREE Full Text
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family  Medicine: 33 (2)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 2
March/April 2020
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Do Patients Want Help Addressing Social Risks?
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
9 + 6 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Do Patients Want Help Addressing Social Risks?
Emilia H. De Marchis, Hugh Alderwick, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Mar 2020, 33 (2) 170-175; DOI: 10.3122/jabfm.2020.02.190309

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Do Patients Want Help Addressing Social Risks?
Emilia H. De Marchis, Hugh Alderwick, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Mar 2020, 33 (2) 170-175; DOI: 10.3122/jabfm.2020.02.190309
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • Complexities in Integrating Social Risk Assessment into Health Care Delivery
  • When and How Do We Need Permission to Help Patients Address Social Risk?
  • PubMed
  • Google Scholar

Cited By...

  • A Health Navigator intervention to address the unmet social needs of caregivers of hospitalised children in South Australia: protocol for a mixed-methods pilot study
  • Factors Associated with Patient Engagement in a Health and Social Needs Case Management Program
  • Integration of social determinants of health information within the primary care electronic health record: a systematic review of patient perspectives and experiences
  • Assessing patients social risks: what can England learn from emerging evidence in the US?
  • Patients Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
  • Patients Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
  • Patient Barriers to Accessing Referred Resources for Unmet Social Needs
  • Social Risk Factors and Desire for Assistance Among Patients Receiving Subsidized Health Care Insurance in a US-Based Integrated Delivery System
  • Mise en {oelig}uvre dinterventions sociales en soins de sante primaires
  • Leveraging Integrated Primary Care to Address Patients' and Families' Unmet Social Needs: Aligning Practice with National Academy of Sciences, Engineering and Medicine Recommendations
  • Implementing social interventions in primary care
  • Patient Interest in Receiving Assistance with Self-Reported Social Risks
  • Building an Evidence Base for Integration of Social Care Into Health Care: Our Collective Path Ahead
  • Many Family Medicine Successful Interventions and Clinical Reviews for Common Illnesses
  • Google Scholar

More in this TOC Section

  • Empowering Family Physicians in Medical Staff Leadership to Foster Physician Well-Being
  • Maternity Care Deserts: Key Drivers of the National Maternal Health Crisis
  • The One Taboo Question
Show more Commentary

Similar Articles

Keywords

  • Delivery of Health Care
  • Health Equity
  • Patient Care Team
  • Patient Preference
  • Population Health
  • Risk Factors
  • Social Determinants of Health
  • Social Work

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire