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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedHarle CA, Wu W, Vest JR
Accuracy of electronic health record food insecurity, housing instability, and financial strain screening in adult primary care.
The objective of this study was to assess the accuracy of electronic health record–based multidomain screening questionnaires on social risk factors. Researchers used single-domain questionnaires on individual factors such as food insecurity, housing instability, and financial strain as external standards.
AHRQ-funded; HS028636.
Citation: Harle CA, Wu W, Vest JR .
Accuracy of electronic health record food insecurity, housing instability, and financial strain screening in adult primary care.
JAMA 2023 Feb 7; 329(5):423-24. doi: 10.1001/jama.2022.23631..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Screening, Social Determinants of Health
Fiori KP, Heller CG, Flattau A
Scaling-up social needs screening in practice: a retrospective, cross-sectional analysis of data from electronic health records from Bronx county, New York, USA.
This study describes a health system’s experience from 2018 to 2020 to scale social needs of screening of patients within a large urban primary care ambulatory network. This program took place at an academic medical center within an ambulatory network of 18 primary care practices located in the Bronx, New York. The study used electronic health records of 244,764 patients who had a clinical visit from April 2018 to 2019. The authors organized measures using the RE-AIM framework domains of reach and adoption to ascertain the number of patients who were screened and the number of providers who adopted screening. A total of 53,093 patients were screened for social needs, representing 21.7% of the patients seen. Almost one-fifth (19.6%) of patients reported at least one unmet social need, varying by both practice location and specialty within practices. Slightly more than half (51.8%) of providers screened at least one patient.
AHRQ-funded; HS026396.
Citation: Fiori KP, Heller CG, Flattau A .
Scaling-up social needs screening in practice: a retrospective, cross-sectional analysis of data from electronic health records from Bronx county, New York, USA.
BMJ Open 2021 Sep 29;11(9):e053633. doi: 10.1136/bmjopen-2021-053633..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Screening, Social Determinants of Health
De Marchis EH, Hessler D, Fichtenberg C
Part I: A quantitative study of social risk screening acceptability in patients and caregivers.
This study evaluated patient and caregiver acceptability of social risk screening. Adult patients and the adult caregivers of pediatric patients were recruited from primary care clinics and emergency departments across nine states for a survey; survey items included the Center for Medicare and Medicaid Innovation Accountable Health Communities' social risk screening tool and questions about the appropriateness of screening and including social risk data in electronic health records. Results showed that a strong majority of surveyed patients and caregivers found social risk screening to be appropriate. Most also felt comfortable including social risk data in electronic health records. The researchers conclude that lack of patient acceptability is unlikely to be a major implementation barrier.
AHRQ-funded; HS026664.
Citation: De Marchis EH, Hessler D, Fichtenberg C .
Part I: A quantitative study of social risk screening acceptability in patients and caregivers.
Am J Prev Med 2019 Dec;57(6 Suppl 1):S25-s37. doi: 10.1016/j.amepre.2019.07.010..
Keywords: Children/Adolescents, Caregiving, Screening, Social Determinants of Health, Electronic Health Records (EHRs), Health Information Technology (HIT)