TY - JOUR
T1 - Patients’ Willingness to Accept Social Needs Navigation after In-Person versus Remote Screening
AU - Steeves-Reece, Anna Louise
AU - Davis, Melinda Marie
AU - Larson, Jean Hiebert
AU - Major-McDowall, Zoe
AU - King, Anne Elizabeth
AU - Nicolaidis, Christina
AU - Goldberg, Bruce
AU - Richardson, Dawn Michele
AU - Lindner, Stephan
N1 - Publisher Copyright:
© 2023 American Board of Family Medicine. All rights reserved.
PY - 2023/3
Y1 - 2023/3
N2 - 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 1 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.
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 1 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.
KW - COVID-19
KW - Cross-Sectional Studies
KW - Implementation Science
KW - Logistic Regression
KW - Mass Screening
KW - Oregon
KW - Social Determinants of Health
KW - Telemedicine
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U2 - 10.3122/jabfm.2022.220259R1
DO - 10.3122/jabfm.2022.220259R1
M3 - Article
C2 - 36868871
AN - SCOPUS:85152166104
SN - 1557-2625
VL - 36
SP - 229
EP - 239
JO - Journal of the American Board of Family Medicine
JF - Journal of the American Board of Family Medicine
IS - 2
ER -