Hospitalized patients' health-related social needs: A comparison of screenings conducted by hospital staff and research staff.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 40879387.
- Also identified by DOI 10.1002/jhm.70164 and PMC identifier 12865252.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
New policies require hospitals to identify and address patients' health-related social needs (HRSN) yet provide minimal guidance on how screening should be conducted. This observational study occurred at a large academic hospital serving a diverse population. Hospital and research staff independently screened newly admitted medical patients for six HRSNs using an instrument designed by a quality improvement team. We calculated κ statistics to assess HRSN agreement between hospital and research staff. Analysis of 413 patients revealed fair to moderate agreement between hospital and research staff screenings (κ = 0.25-0.54). Hospital staff identified fewer patients with needs related to medication affordability, housing, food, transportation, and mental health, but identified a higher proportion with needs related to the usual source of care. Hospital staff underestimate the proportion of patients with HRSN, potentially excluding patients from referral to social services.
Medical subject headings
- Hospitalization
- Needs Assessment
- Personnel, Hospital
- Mass Screening
- Inpatients