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Research ArticleOriginal Research

Factors Associated with Patient Engagement in a Health and Social Needs Case Management Program

Christine H. Lo, Margae J. Knox, Elizabeth A. Hernandez and Amanda L. Brewster
The Journal of the American Board of Family Medicine May 2024, 37 (3) 418-426; DOI: https://doi.org/10.3122/jabfm.2023.230388R1
Christine H. Lo
From the University of California, Berkeley School of Public Health; Berkeley, CA (CHL, MJK, ALB); Contra Costa County Health Services Department, Martinez, CA (EAH).
MPH
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Margae J. Knox
From the University of California, Berkeley School of Public Health; Berkeley, CA (CHL, MJK, ALB); Contra Costa County Health Services Department, Martinez, CA (EAH).
PhD, MPH
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Elizabeth A. Hernandez
From the University of California, Berkeley School of Public Health; Berkeley, CA (CHL, MJK, ALB); Contra Costa County Health Services Department, Martinez, CA (EAH).
MS
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Amanda L. Brewster
From the University of California, Berkeley School of Public Health; Berkeley, CA (CHL, MJK, ALB); Contra Costa County Health Services Department, Martinez, CA (EAH).
PhD
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References

  1. 1.↵
    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: The National Academies Press. Available at: https://doi.org/10.17226/25467. Published 2019. Accessed October 6, 2023.
  2. 2.↵
    Beyond Health Care: The role of social determinants in promoting health and health equity. Kaiser Family Foundation website. Available at: https://www.kff.org/racial-equity-and-health-policy/issue-brief/beyond-health-care-the-role-of-social-determinants-in-promoting-health-and-health-equity/. Published May 10, 2018. Accessed December 24, 2023.
  3. 3.↵
    Institute for Medicaid Innovation. 2022 Annual Medicaid MCO survey fact sheets. Available at: https://medicaidinnovation.org/wp-content/uploads/2023/03/IMI-2022-Annual_Medicaid_MCO_Survey-All_Fact_Sheets.pdf. Published 2023. Accessed July 28, 2023.
  4. 4.↵
    Medicaid Waiver Tracker: Approved and pending section 1115 Waivers by State. Kaiser Family Foundation website. Available at: https://www.kff.org/medicaid/issue-brief/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state/#Table3. Updated September 26, 2023. Accessed September 28, 2023.
  5. 5.↵
    Fact Sheet FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) final rule—CMS-1785 and CMS-1788-F Fact Sheet. CMS.gov Centers for Medicare & Medicaid Services. Available at: https://www.cms.gov/newsroom/fact-sheets/fy-2024-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective-0. Published August 1, 2023. Accessed December 24, 2023.
  6. 6.↵
    1. Fichtenberg CM,
    2. De Marchis EH,
    3. Gottlieb LM
    . Understanding patients’ interest in healthcare-based social assistance programs. Am J Prev Med 2022;63:S109–S115.
    OpenUrl
  7. 7.
    1. Martel M,
    2. Klein L,
    3. Hager K,
    4. Cutts D
    . Emergency department experience with novel electronic medical record order for referral to food resources. WestJEM 2018;19:232–7.
    OpenUrl
  8. 8.↵
    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 Med 2018;31:351–63.
    OpenUrl
  9. 9.↵
    1. Cohen AJ,
    2. Isaacson N,
    3. Torby M,
    4. Smith A,
    5. Zhang G,
    6. et al
    . Motivators, barriers, and preferences to engagement with offered social care assistance among people with diabetes: a mixed methods study. Am J Prev Med 2022;63:S152–S163.
    OpenUrl
  10. 10.
    1. Pfeiffer EJ,
    2. De Paula CL,
    3. Flores WO,
    4. et al
    . Barriers to patients’ acceptance of social care interventions in clinic settings. Am J Prev Med 2022;63:S116–S121.
    OpenUrl
  11. 11.↵
    1. Sandhu S,
    2. Lian T,
    3. Smeltz L,
    4. et al
    . Patient barriers to accessing referred resources for unmet social needs. J Am Board Fam Med 2022;35:793–802.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Brown DM,
    2. Hernandez EA,
    3. Levin S,
    4. et al
    . Effect of social needs case management on hospital use among adult Medicaid beneficiaries: a randomized study. Ann Intern Med 2022;175:1109–17.
    OpenUrl
  13. 13.
    1. Fleming MD,
    2. Guo C,
    3. Knox M,
    4. et al
    . Impact of social needs case management on use of medical and behavioral health services: secondary analysis of a randomized controlled trial. Ann Intern Med 2023;176:1139–41.
    OpenUrl
  14. 14.↵
    1. Knox M,
    2. Hernandez EA,
    3. Brown DM,
    4. et al
    . Greater COVID-19 vaccine uptake among enrollees offered health and social needs case management: results from a randomized trial. Health Serv Res 2023;1–13.
  15. 15.↵
    1. Hibbard JH,
    2. Cunningham PJ
    . How engaged are consumers in their health and health care, and why does it matter? Res Brief 2008;1–9.
  16. 16.↵
    1. Kirkland E,
    2. Schumann SO,
    3. Schreiner A,
    4. et al
    . Patient demographic and clinic type are associated with patient engagement within a remote monitoring program. Telemed J E Health 2021;27:843–50.
    OpenUrlCrossRef
  17. 17.↵
    1. Hibbard JH,
    2. Stockard J,
    3. Mahoney ER,
    4. Tusler M
    . Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 2004;39:1005–26.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Cullen D,
    2. Attridge M,
    3. Fein JA
    . Food for thought: a qualitative evaluation of caregiver preferences for food insecurity screening and resource referral. Acad Pediatr 2020;20.
  19. 19.↵
    1. De Marchis EH,
    2. Hessler D,
    3. Fichtenberg C,
    4. et al
    . Assessment of social risk factors and interest in receiving health care–based social assistance among adult patients and adult caregivers of pediatric patients. JAMA Netw Open 2020;3:e2021201.
    OpenUrl
  20. 20.↵
    1. Gruß I,
    2. Varga A,
    3. Brooks N,
    4. Gold R,
    5. Banegas MP
    . Patient interest in receiving assistance with self-reported social risks. J Am Board Fam Med 2021;34:914–24.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    Medi-Cal Managed Care Health Plan Responsibilities for Outpatient Mental Health Services. State of California Department of Health Care Services website. Available at: https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2017/APL17-018.pdf. Published October 27, 2017. Accessed January 5, 2023.
  22. 22.↵
    1. Fung V,
    2. Schmittdiel JA,
    3. Fireman B,
    4. et al
    . Meaningful variation in performance: a systematic literature review. Med Care 2010;48:140–8.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Napoles TM,
    2. Burke NJ,
    3. Shim JK,
    4. et al
    . Assessing patient activation among high-need, high-cost patients in urban safety net care settings. J Urban Health 2017;94:803–13.
    OpenUrl
  24. 24.↵
    1. De Marchis EH,
    2. Alderwick H,
    3. Gottlieb LM
    . Do patients want help addressing social risks? J Am Board Fam Med 2020;33:170–5.
    OpenUrlAbstract/FREE Full Text
  25. 25.
    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.
    OpenUrlCrossRef
  26. 26.↵
    1. Sokol RL,
    2. Mehdipanah R,
    3. Bess K,
    4. et al
    . When families do not request help: assessing a social determinants of health screening tool in practice. J Pediatr Health Care 2021;35:471–8.
    OpenUrlPubMed
  27. 27.↵
    1. Bottino CJ,
    2. Rhodes ET,
    3. Kreatsoulas C,
    4. et al
    . Food insecurity screening in pediatric primary care: can offering referrals help identify families in need? Acad Pediatr 2017;17:497–503.
    OpenUrlCrossRefPubMed
  28. 28.
    1. Garg A,
    2. Sarkar S,
    3. Marino M,
    4. et al
    . Linking urban families to community resources in the context of pediatric primary care. Patient Educ Couns 2010;79:251–4.
    OpenUrlCrossRefPubMed
  29. 29.↵
    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.
    OpenUrlPubMed
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The Journal of the American Board of Family   Medicine: 37 (3)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 3
May-June 2024
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Factors Associated with Patient Engagement in a Health and Social Needs Case Management Program
Christine H. Lo, Margae J. Knox, Elizabeth A. Hernandez, Amanda L. Brewster
The Journal of the American Board of Family Medicine May 2024, 37 (3) 418-426; DOI: 10.3122/jabfm.2023.230388R1

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Factors Associated with Patient Engagement in a Health and Social Needs Case Management Program
Christine H. Lo, Margae J. Knox, Elizabeth A. Hernandez, Amanda L. Brewster
The Journal of the American Board of Family Medicine May 2024, 37 (3) 418-426; DOI: 10.3122/jabfm.2023.230388R1
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