Table 6.

Acceptability of Social Screening Data Documentation and Sharing

First Author (Year)Findings
Key Quantitative Findings
De Marchis (2019)65% of participants were comfortable with integrating social screening data into their EHR

  • Higher odds among participants who had received prior assistance (OR, 1.47; 95% CI, 1.04, 2.07)

  • No differences by age, sex, race/ethnicity, education, income, preferred language, child’s health, number of reported social risks, prior screening experience, discomfort with screening domains, interest in assistance, trust in clinician, prior discrimination within the health care setting, health care setting, or percentage of the patient population publicly insured or uninsured

Key Qualitative Findings
Wylie (2012)Some participants spoke in detail about privacy (concerns)
Hamity (2018)Some participants were concerned about how information would be used and with whom it would be shared
Some participants were concerned about how to update their status once it had changed
Byhoff (2019)Several participants worried about discrimination, bias, and privacy concerns, including EHR documentation
Some participants worried about responses being shared outside of the health care setting
Emengo (2020)Few participants were concerned about physicians receiving results
Wallace (2021)Some participants were concerned that disclosing sensitive information might bias providers against them
None of the participants wanted their social needs documented in medical record
Participants were concerned about information following them after their circumstances had changed
Spain (2021)Some participants were concerned about oversurveillance of communities of color and privacy

  • Abbreviations: EHR, electronic health record; OR, odds ratio; CI, confidence interval.