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
Research ArticleOriginal Research

“Wanting the Best for Our Folks”—A Mixed Methods Analysis of Community Health Center Social Risk Screening Initiatives

Emilia H. De Marchis, Benjamin Aceves, Na’amah Razon, Rosy Chang Weir, Michelle Jester and Laura M. Gottlieb
The Journal of the American Board of Family Medicine October 2023, 36 (5) 817-831; DOI: https://doi.org/10.3122/jabfm.2023.230099R1
Emilia H. De Marchis
From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
MD, MAS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Benjamin Aceves
From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
PhD, MPH, MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Na’amah Razon
From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rosy Chang Weir
From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michelle Jester
From the Department of Family & Community Medicine, University of California, San Francisco (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
MA, PMP
  • 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 (EHDM, RMG); School of Public Health, San Diego State University (BA); Department of Family & Community Medicine, University of California, Davis (NR); Association of Asian Pacific Community Health Organizations, San Francisco, CA (RCW); National Association of Community Health Centers (now with America’s Health Insurance Plans, Washington, DC) (MJ).
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. Dzau VJ,
    2. Mate K,
    3. O'Kane M
    . Equity and quality—improving health care delivery requires both. JAMA 2022;327:519–20.
    OpenUrl
  2. 2.↵
    1. Wilson BG,
    2. Jones E
    . Lessons on increasing racial and health equity from accountable health communities. J Healthc Qual 2022;44:276–85.
    OpenUrl
  3. 3.↵
    1. Kulkarni A,
    2. Davey-Rothwell M,
    3. Mossialos E
    . Accelerating integration of social needs into mainstream healthcare to achieve health equity in the COVID-19 era. Health Econ Policy Law 2022;1–6.
  4. 4.↵
    1. Byhoff E,
    2. Gottlieb LM
    . When there is value in asking: an argument for social risk screening in clinical practice. Ann Intern Med 2022;175:1181–2.
    OpenUrlCrossRef
  5. 5.↵
    National Academies of Sciences, Engineering, and Medicine. Integrating social care into the delivery of health care: Moving upstream to improve the nation’s health. 2019. Accessed May 25, 2022. Available at: https://nap.nationalacademies.org/catalog/25467.
  6. 6.↵
    1. Czapp P,
    2. Kovach K
    . Poverty and health—the family medicine perspective (position paper). AAFP policies 2015. Available at: https://thepcc.org/resource/poverty-and-health-family-medicine-perspective-position-paper.
  7. 7.↵
    Council on Community Pediatrics. Poverty and child health in the United States. Pediatrics 2016;137:e20160339.
    OpenUrlCrossRefPubMed
  8. 8.↵
    Council on Community Pediatrics,. Committee on Nutrition. Promoting food security for all children. Pediatrics 2015;136:e1431–e1438.
    OpenUrlCrossRefPubMed
  9. 9.↵
    Institute of Medicine. Capturing social and behavioral domains and measures in electronic health records: phase 1. Washington, DC: The National Academies Press; 2014.
  10. 10.↵
    Institute of Medicine. Capturing social and behavioral domains and measures in electronic health records: phase 2. Washington, DC: The National Academies Press; 2014.
  11. 11.↵
    1. Kangovi S,
    2. Mitra N,
    3. Grande D,
    4. Long JA,
    5. Asch DA
    . Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Aff (Millwood) 2020;39:207–13.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Berkowitz SA,
    2. Delahanty LM,
    3. Terranova J,
    4. et al
    . Medically tailored meal delivery for diabetes patients with food insecurity: a randomized cross-over trial. J Gen Intern Med 2019;34:396–404.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Rhodes HM,
    2. Simon HL,
    3. Hume HG,
    4. et al
    . Safety-net accountable health model partnership drives inpatient connection to outpatient social services, reducing readmissions in a population experiencing homelessness. Prof Case Manag 2021;26:150–5.
    OpenUrl
  14. 14.↵
    1. DeLia D,
    2. Nova J,
    3. Chakravarty S,
    4. Tiderington E,
    5. Kelly T,
    6. Cantor JC
    . Effects of permanent supportive housing on health care utilization and spending among New Jersey Medicaid enrollees experiencing homelessness. Med Care 2021;59:S199–S205.
    OpenUrl
  15. 15.↵
    1. Jones LJ,
    2. VanWassenhove-Paetzold J,
    3. Thomas K,
    4. et al
    . Impact of a fruit and vegetable prescription program on health outcomes and behaviors in young Navajo children. Current developments in nutrition 2020;4:nzaa109.
    OpenUrlPubMed
  16. 16.↵
    1. Pantell MS,
    2. Hessler D,
    3. Long D,
    4. et al
    . Effects of In-person navigation to address family social needs on child health care utilizationa randomized clinical trial. JAMA Netw Open 2020;3:e206445.
    OpenUrl
  17. 17.↵
    1. Tyris J,
    2. Keller S,
    3. Parikh K
    . Social risk interventions and health care utilization for pediatric asthma: a systematic review and meta-analysis. JAMA Pediatr 2022;176:e215103-e.
    OpenUrl
  18. 18.↵
    1. Gurewich D,
    2. Garg A,
    3. Kressin NR
    . Addressing social determinants of health within healthcare delivery systems: a framework to ground and inform health outcomes. J Gen Intern Med 2020;35:1571–5.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Gottlieb L,
    2. Hessler D,
    3. Long D,
    4. Amaya A,
    5. Adler N
    . A randomized trial on screening for social determinants of health: the iScreen study. Pediatrics 2014;134:e1611-8–e1618.
    OpenUrl
  20. 20.↵
    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
  21. 21.↵
    1. de la Vega PB,
    2. Losi S,
    3. Martinez LS,
    4. et al
    . Developing an emr-based screening and referral system to address social determinants of health (SDOH) in primary care: a feasibility study. Journal of general internal medicine 2018;33:S773–S.
    OpenUrl
  22. 22.↵
    1. Garg A,
    2. Toy S,
    3. Tripodis Y,
    4. Silverstein M,
    5. Freeman E
    . Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics 2015;135:e296-304–e304.
    OpenUrl
  23. 23.↵
    1. Fleegler EW,
    2. Lieu TA,
    3. Wise PH,
    4. Muret-Wagstaff S
    . Families' health-related social problems and missed referral opportunities. Pediatrics 2007;119:e1332-41–e1341.
    OpenUrl
  24. 24.↵
    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
  25. 25.↵
    1. Berkowitz SA,
    2. Catherine Hulberg A,
    3. Standish S,
    4. Reznor G,
    5. Atlas SJ
    . Addressing unmet basic resource needs as part of chronic cardiometabolic disease management. JAMA Intern Med 2017;177:244–52.
    OpenUrl
  26. 26.↵
    1. Kangovi S,
    2. Mitra N,
    3. Norton L,
    4. et al
    . Effect of community health worker support on clinical outcomes of low-income patients across primary care facilities: a randomized clinical trial. JAMA Intern Med 2018;178:1635–43.
    OpenUrl
  27. 27.↵
    1. Yan AF,
    2. Chen Z,
    3. Wang Y,
    4. et al
    . Effectiveness of social needs screening and interventions in clinical settings on utilization, cost, and clinical outcomes: a systematic review. Health equity 2022;6:454–75.
    OpenUrlCrossRef
  28. 28.↵
    1. Egede LE,
    2. Walker RJ,
    3. Linde S,
    4. et al
    . Nonmedical interventions for type 2 diabetes: evidence, actionable strategies, and policy opportunities. Health Aff (Millwood) 2022;41:963–70.
    OpenUrl
  29. 29.↵
    1. Cartier Y,
    2. Gottlieb L
    . The prevalence of social care in US health care settings depends on how and whom you ask. BMC health Serv Res 2020;20:481.
    OpenUrlCrossRef
  30. 30.↵
    1. De Marchis E,
    2. Brown E,
    3. Aceves BA,
    4. et al
    . State of the science on social screening in healthcare settings. San Francisco, CA: Social Interventions Research and Evaluation Network. Available online.2022 June. Available at: https://sirenetwork.ucsf.edu/tools-resources/resources/screen-report-state-science-social-screening-healthcare-settings#screening-implementation-tools. Available at:
  31. 31.↵
    1. Cole M,
    2. Jolliffe M,
    3. So-Armah C,
    4. Gottlieb B
    . Power and participation: how community health centers address the determinants of the social determinants of health. N Engl J Med Catalyst 2022;3:
  32. 32.↵
    1. Cole MB,
    2. Nguyen KH,
    3. Byhoff E,
    4. Murray GF
    . Screening for social risk at federally qualified health centers: a national study. Am J Prev Med 2022;62:670–8.
    OpenUrl
  33. 33.↵
    Episcopal Health Foundation. EHF launches pilot project to help health centers screen for social determinants of health. 2017. Accessed November 14, 2022. Available at: https://www.episcopalhealth.org/enews/ehf-launches-pilot-project-help-health-centers-screen-social-determinants-health/.
  34. 34.↵
    National Association of Community Health Centers, Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association, Institute for Alternative Futures. The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE). Available at: prapare.org 2022.
  35. 35.↵
    1. Weir RC,
    2. Proser M,
    3. Jester M,
    4. Li V,
    5. Hood-Ronick CM,
    6. Gurewich D
    . Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation. J Health Care Poor Underserved 2020;31:1018–35.
    OpenUrlCrossRefPubMed
  36. 36.↵
    Episcopal Health Foundation. Texas MCO SDOH Learning Collaborative: Kickoff Meeting Summary. 2019. Accessed November 14, 2022. Available at: https://www.episcopalhealth.org/research-report/texas-managed-care-organization-social-determinants-health-learning-collaborative-kickoff-meeting-summary/.
  37. 37.↵
    Episcopal Health Foundation. Community Centered Health Homes. 2022. Accessed 25 August 2022. Available at: https://www.episcopalhealth.org/grantmaking/community-centered-health-homes/.).
  38. 38.↵
    1. Lett E,
    2. Asabor E,
    3. Beltran S,
    4. Cannon AM,
    5. Arah OA
    . Conceptualizing, contextualizing, and operationalizing race in quantitative health sciences research. Ann Fam Med 2022;20:157–63.
    OpenUrlAbstract/FREE Full Text
  39. 39.↵
    Rev.com. rev. 2022. Available at: https://www.rev.com/cms/home.
  40. 40.↵
    dedoose. What makes dedoose different? 2022. Accessed May 29, 2022. Available at: https://www.dedoose.com/.
  41. 41.↵
    1. Guetterman TC,
    2. Fetters MD,
    3. Creswell JW
    . Integrating quantitative and qualitative results in health science mixed methods research through joint displays. Ann Fam Med 2015;13:554–61.
    OpenUrlAbstract/FREE Full Text
  42. 42.↵
    1. Fetters MD,
    2. Curry LA,
    3. Creswell JW
    . Achieving integration in mixed methods designs-principles and practices. Health Serv Res 2013;48:2134–56.
    OpenUrlCrossRefPubMedWeb of Science
  43. 43.↵
    1. Lee SD,
    2. Iott B,
    3. Banaszak-Holl J,
    4. et al
    . Application of mixed methods in health services management research: a systematic review. Med Care Res Rev 2022;79:331–44.
    OpenUrlCrossRefPubMed
  44. 44.↵
    1. Hellerstedt J
    . February 2021 winter storm-related deaths—Texas. In: Services THaH, ed. Available at: https://dshs.texas.gov/news/updates/SMOC_FebWinterStorm_MortalitySurvReport_12-30-21.pdf: Texas Department of State Health Services; 2021.
  45. 45.↵
    1. Savitz ST,
    2. Nyman MA,
    3. Kaduk A,
    4. Loftus C,
    5. Phelan S,
    6. Barry BA
    . Association of patient and system-level factors with social determinants of health screening. Medical care 2022;60:700–8.
    OpenUrl
  46. 46.↵
    Bureau of Primary Health Care. Uniform Data System: 2022 Manual Health Center Data Reporting Requirements. April 15, 2022. Accessed January 9, 2023. Available at: https://bphc.hrsa.gov/sites/default/files/bphc/data-reporting/2022-uds-manual.pdf2022.
  47. 47.↵
    1. Kornfield T,
    2. Kazan M,
    3. Frieder M,
    4. et al
    . Medicare advantage plans offering expanded supplemental benefits: a look at availability and enrollment. The Commonwealth Fund. 2021. Accessed May 16, 2023. Available at: https://www.commonwealthfund.org/publications/issue-briefs/2021/feb/medicare-advantage-plans-supplemental-benefits.
  48. 48.↵
    1. Gottlieb LM,
    2. Razon N,
    3. Aboelata N
    . How do community health centers pay for social care programs? San Francisco, CA: Social Interventions Research and Evaluation Network. Available online. Available at: https://sirenetwork.ucsf.edu/tools-resources/resources/how-do-safety-net-clinics-pay-social-care-programs.
  49. 49.↵
    1. Crook HL,
    2. Zheng J,
    3. Bleser WK,
    4. Whitaker RG,
    5. Masand J,
    6. Sauders RS
    . How are payment reforms addressing social determinants of health? Policy implications and next steps. Milbank Memorial Fund and Duke-Margolis Center for Health Policy. February 4, 2021. Available at: https://www.milbank.org/wp-content/uploads/2021/02/Duke-SDOH-and-VBP-Issue-Brief_v3-1.pdf.
  50. 50.↵
    1. Goldman TR
    . Charting a pathway to better health. Health Aff (Millwood) 2018;37:1918–22.
    OpenUrl
  51. 51.↵
    Medicaid and CHIP Payment and Access Commission (MACPAC). 2022. Financing strategies to address the social determinants of health in Medicaid. Washington, DC: MACPAC. Available at: https://www.macpac.gov/wp-content/uploads/2022/05/SDOH-Issue-Brief_May-2022.pdf.
  52. 52.↵
    Social determinants of health— Medicaid coverage and payment. National Association of Community Health Centers; Published online May 6, 2022. Available at: https://opus-nc-public.digitellcdn.com/uploads/nachc/redactor/c796c6d06a6771839e5b2fe645c2522e125d41489e66992e39c3f8e12194836a.pdf.
  53. 53.↵
    1. Sandhu S,
    2. Alderwick H,
    3. Gottlieb LM
    . Financing approaches to social prescribing programs in England and the United States. Milbank Q 2022;100:393–423.
    OpenUrlCrossRef
  54. 54.↵
    SIREN. Screening implementation tools. social interventions research & evaluation Network. 2022. Accessed October 12, 2022. Available at: https://sirenetwork.ucsf.edu/taxonomy/term/284.
  55. 55.↵
    Kaiser Permanente Center for Health Research and OCHIN, Inc. A guide to implementing social risk screening and referral-making. 2021. Accessed January 17, 2023. Available at: https://sirenetwork.ucsf.edu/guide-implementing-social-risk-screening-and-referral-making.
  56. 56.↵
    PRAPARE. PRAPARE Implementation and Action Toolkit. National Association of Community Health Centers, Inc (NACHC) & Association of Asian Pacific Community Health Organizations (AAPCHO). 2022. Accessed May 16, 2023. Available at: https://prapare.org/prapare-toolkit/.
  57. 57.↵
    PRAPARE. The PRAPARE PCA Readiness Assessment Tool. National Association of Community Health Centers, Inc (NACHC) & Association of Asian Pacific Community Health Organizations (AAPCHO). 2022. Accessed May 16, 2023. Available at: https://prapare.org/knowledge-center/data-documentation-and-clinical-integration-resources/the-prapare-pca-readiness-assessment-tool/.
  58. 58.↵
    Centers for Medicare & Medicaid Services. A guide to using the accountable health communities health-related social needs screening tool: promising practices and key insights. 2022. Accessed May 16, 2023. Available at: https://innovation.cms.gov/media/document/ahcm-screeningtool-companion?utm_campaign=NASDOH&utm_medium=email&_hsmi=135163707&_hsenc=p2ANqtz-8WzmY2TYi8_RJLcnsRdDvEY5ttP8BbHPkx2s0yyej9jdJq8pkytvIsEpf9zpitIjSN1FGucuVYxKkQVMynQHayiIw9Ow&utm_content=135163707&utm_source=hs_email.
  59. 59.↵
    Oregon Primary Care Association. Empathic Inquiry. 2019. Accessed March 31, 2019. Available at: https://www.orpca.org/initiatives/empathic-inquiry.
  60. 60.↵
    1. Alley DE,
    2. Asomugha CN,
    3. Conway PH,
    4. Sanghavi DM
    . Accountable health communities–addressing social needs through Medicare and Medicaid. N Engl J Med 2016;374:8–11.
    OpenUrlCrossRefPubMed
  61. 61.↵
    Hospital Inpatient Quality Program (IQR). Measure specification information for Social Drivers of Health measures included in the 2022 IPPS Final Rule. August 1, 2022. Accessed September 30, 2022.
  62. 62.↵
    1. Johnson KA,
    2. Barolin N,
    3. Ogbue C,
    4. Verlander K
    . Lessons from five years of the CMS accountable health communities model. Health Aff Forefront 2022.
  63. 63.↵
    Centers for Medicare & Medicaid Services. Medicare and Medicaid programs: CY 2023 payment policies under the physician fee schedule and other changes to part b payment and coverage policies; medicare shared savings program requirements; Medicare and Medicaid provider enrollment policies, etc. 2022. Accessed October 12, 2022. Available at: https://www.federalregister.gov/public-inspection/2022-23873/medicare-and-medicaid-programs-cy-2023-payment-policies-under-the-physician-fee-schedule-and-other2022.
  64. 64.↵
    NCQA Communications. HEDIS MY 2023: see what’s new, what’s changed and what’s retired. 2022. Accessed October 12, 2022. Available at: https://www.ncqa.org/blog/hedis-my-2023-see-whats-new-whats-changed-and-whats-retired/.
  65. 65.↵
    nextgen healthcare. NextGen population health and analytics solutions. 2022. Accessed November 17, 2022. Available at: https://www.nextgen.com/products-and-services/analytics.
  66. 66.↵
    1. Nelson H
    . Epic’s EHR Optimization Mitigates SDOH, Promotes Care Coordination. EHR Intelligence 2021 25 May 2021.
  67. 67.↵
    Altruistahealth.com. Beyond costs and outcomes: leveraging social determinants of health as part of a holistic approach to population health. 2017. Accessed November 17, 2022. Available at: https://www.altruistahealth.com/docs/default-source/white-papers/altruista-health-white-paper-leveraging-sdoh-in-population-health.pdf.
  68. 68.↵
    Azara healthcare. What can we help you accomplish? 2022. Accessed November 18, 2022. Available at: https://www.azarahealthcare.com/about/outcomes#care.
  69. 69.↵
    1. Hatef E,
    2. Rouhizadeh M,
    3. Tia I,
    4. et al
    . Assessing the availability of data on social and behavioral determinants in structured and unstructured electronic health records: a retrospective analysis of a multilevel health care system. JMIR Med Inform 2019;7:e13802.
    OpenUrl
  70. 70.↵
    1. Torres JM,
    2. Lawlor J,
    3. Colvin JD,
    4. et al
    . ICD Social Codes: An Underutilized Resource for Tracking Social Needs. Med Care 2017;55:810–6.
    OpenUrlPubMed
  71. 71.↵
    1. Wang M,
    2. Pantell MS,
    3. Gottlieb LM,
    4. Adler-Milstein J
    . Documentation and review of social determinants of health data in the EHR: measures and associated insights. J Am Med Inform Assoc 2021;28:2608–16.
    OpenUrl
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 36 (5)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 5
September-October 2023
  • 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.
“Wanting the Best for Our Folks”—A Mixed Methods Analysis of Community Health Center Social Risk Screening Initiatives
(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.
13 + 6 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
“Wanting the Best for Our Folks”—A Mixed Methods Analysis of Community Health Center Social Risk Screening Initiatives
Emilia H. De Marchis, Benjamin Aceves, Na’amah Razon, Rosy Chang Weir, Michelle Jester, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Oct 2023, 36 (5) 817-831; DOI: 10.3122/jabfm.2023.230099R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
“Wanting the Best for Our Folks”—A Mixed Methods Analysis of Community Health Center Social Risk Screening Initiatives
Emilia H. De Marchis, Benjamin Aceves, Na’amah Razon, Rosy Chang Weir, Michelle Jester, Laura M. Gottlieb
The Journal of the American Board of Family Medicine Oct 2023, 36 (5) 817-831; DOI: 10.3122/jabfm.2023.230099R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Limitations
    • Conclusion
    • Acknowledgments
    • Appendices.Appendix 1. Provider/Staff Interview Guides and Provider Survey Tool
    • Appendix 2. Background on Study Site Screening Practices
    • Appendix 3. Survey Data Measures/Analyses
    • Appendix Table 1. Survey Results Relevant to Screening Practices Across Four Study Sites (N = 97 Providers)
    • Appendix Table 2. Demographics of Patients at Two Community Health Centers (CHCs) That Participated in Electronic Health Record (EHR) Data Analyses
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Clinician and Staff Perspectives on a Social Drivers of Health Program Implementation
  • Adjusting Clinical Plans Based on Social Context
  • Lingering Impact of COVID-19, Preventive Care Considerations, and US Health System Challenges
  • Practicing Family Medicine in a Pandemic World: Lessons for Telemedicine, Health Care Delivery, and Mental Health Care
  • Google Scholar

More in this TOC Section

  • Associations Between Modifiable Preconception Care Indicators and Pregnancy Outcomes
  • Perceptions and Preferences for Defining Biosimilar Products in Prescription Drug Promotion
  • Evaluating Pragmatism of Lung Cancer Screening Randomized Trials with the PRECIS-2 Tool
Show more Original Research

Similar Articles

Keywords

  • Health Care Disparities
  • Health Equity
  • Implementation Science
  • Patient-Centered Care
  • Population Health
  • Qualitative Research
  • Screening
  • Social Determinants of Health

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