RT Journal Article
SR Electronic
T1 Patients’ Willingness to Accept Social Needs Navigation After In-Person versus Remote Screening
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP jabfm.2022.220259R1
DO 10.3122/jabfm.2022.220259R1
A1 Anna Louise Steeves-Reece
A1 Melinda Marie Davis
A1 Jean Hiebert Larson
A1 Zoe Major-McDowall
A1 Anne Elizabeth King
A1 Christina Nicolaidis
A1 Bruce Goldberg
A1 Dawn Michele Richardson
A1 Stephan Lindner
YR 2023
UL http://www.jabfm.org/content/early/2023/03/03/jabfm.2022.220259R1.abstract
AB Background: 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.Methods: 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.Results: 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.Conclusions: 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.