{"title":"Clinician Attitudes and Experiences in Screening Patients for Social Determinants of Health Using PRAPARE.","authors":"Pranav Rane, Mathew B Weimer, Adam Baus","doi":"10.13023/jah.0604.04","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Social Determinants of Health (SDOH) are the conditions in which people are born, grow, live, work, and age. SDOH significantly influence health outcomes; as such, healthcare systems should screen for patients' social needs. PRAPARE is standardized screening tool designed to assess and address patients' social needs.</p><p><strong>Purpose: </strong>This study examines SDOH screening at Valley Health Systems, a federally qualified health center based in Huntington, West Virginia. The aim of this research is to assess clinician attitudes and experiences in using the PRAPARE tool to screen for SDOH.</p><p><strong>Methods: </strong>A self-administered online survey was conducted from April to May 2022 among Valley Health Systems clinicians. The survey focused on SDOH screening frequency, clinician attitudes, barriers to screening, and PRAPARE tool usage. Survey questions were adapted from previously published instrument.</p><p><strong>Results: </strong>Among the 36 clinicians (response rate: 24.0%) who participated, 55.6% sometimes, rarely, or never asked about patient social needs and 47.2% sometimes, rarely, or never reviewed patient charts for social needs information. Common barriers to screening included patient discomfort (38.9%), lack of referral systems (30.6%), and time constraints (27.8%). Although only 30.6% used the PRAPARE tool, those who did found it easy to use (81.8%) and helpful in identifying social needs (81.8%). However, 63.6% felt inadequately trained in using the tool.</p><p><strong>Implications: </strong>Similar to national trends, some clinicians at Valley Health Systems are overall supportive of SDOH screening. However, they face many common barriers to screening despite integration of PRAPARE. The results of this study provide valuable insights for those navigating the complexities of implementing SDOH screening tools and sustaining use within clinical settings.</p>","PeriodicalId":73599,"journal":{"name":"Journal of Appalachian health","volume":"6 4","pages":"28-40"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790049/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Appalachian health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13023/jah.0604.04","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Social Determinants of Health (SDOH) are the conditions in which people are born, grow, live, work, and age. SDOH significantly influence health outcomes; as such, healthcare systems should screen for patients' social needs. PRAPARE is standardized screening tool designed to assess and address patients' social needs.
Purpose: This study examines SDOH screening at Valley Health Systems, a federally qualified health center based in Huntington, West Virginia. The aim of this research is to assess clinician attitudes and experiences in using the PRAPARE tool to screen for SDOH.
Methods: A self-administered online survey was conducted from April to May 2022 among Valley Health Systems clinicians. The survey focused on SDOH screening frequency, clinician attitudes, barriers to screening, and PRAPARE tool usage. Survey questions were adapted from previously published instrument.
Results: Among the 36 clinicians (response rate: 24.0%) who participated, 55.6% sometimes, rarely, or never asked about patient social needs and 47.2% sometimes, rarely, or never reviewed patient charts for social needs information. Common barriers to screening included patient discomfort (38.9%), lack of referral systems (30.6%), and time constraints (27.8%). Although only 30.6% used the PRAPARE tool, those who did found it easy to use (81.8%) and helpful in identifying social needs (81.8%). However, 63.6% felt inadequately trained in using the tool.
Implications: Similar to national trends, some clinicians at Valley Health Systems are overall supportive of SDOH screening. However, they face many common barriers to screening despite integration of PRAPARE. The results of this study provide valuable insights for those navigating the complexities of implementing SDOH screening tools and sustaining use within clinical settings.
健康的社会决定因素(SDOH)是指人们出生、成长、生活、工作和衰老的条件。SDOH显著影响健康结果;因此,医疗保健系统应该筛选患者的社会需求。PRAPARE是一种标准化的筛查工具,旨在评估和解决患者的社会需求。目的:本研究考察了山谷健康系统的SDOH筛查,山谷健康系统是一家位于西弗吉尼亚州亨廷顿的联邦合格健康中心。本研究的目的是评估临床医生对使用PRAPARE工具筛查SDOH的态度和经验。方法:于2022年4月至5月对Valley Health Systems临床医生进行了一项自我管理的在线调查。调查的重点是SDOH筛查频率、临床医生态度、筛查障碍和PRAPARE工具使用情况。调查问题改编自以前出版的文书。结果:参与调查的36名临床医生(有效率24.0%)中,55.6%的临床医生有时、很少或从未询问过患者的社会需求,47.2%的临床医生有时、很少或从未查阅过患者的病历以获取社会需求信息。常见的筛查障碍包括患者不适(38.9%)、缺乏转诊系统(30.6%)和时间限制(27.8%)。虽然只有30.6%的人使用过PRAPARE工具,但那些使用过PRAPARE工具的人认为它易于使用(81.8%),并且有助于识别社会需求(81.8%)。然而,63.6%的人认为在使用该工具方面没有得到充分的培训。启示:与全国趋势相似,山谷卫生系统的一些临床医生总体上支持SDOH筛查。然而,尽管整合了PRAPARE,他们仍面临许多常见的筛查障碍。这项研究的结果为那些在实施SDOH筛查工具的复杂性和在临床环境中持续使用提供了有价值的见解。