screening for social determinants of health (PRAPARE)
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Indications
- screening for social determinants of health facilitates identification of patient needs & tailoring of referrals to community-based services[3]
Procedure
- active & passive information retrieval methods may be used in clinical environments to screen for social determinants of health[1]
- a manual screening process completed in primary care offices is an example of an active screening process
- active screening can identify
- social integration (social isolation)
- domestic safety
- financial resources
- food insecurity
- transportation
- housing
- psychosocial stress[1]
- active screening can identify
- data mining of electronic medical records is an example of a passive screening process
- passive screening can identify
- financial resources
- psychosocial stress[1]
- passive screening can identify
- a manual screening process completed in primary care offices is an example of an active screening process
- Protocol for Responding to & Assessing Patients' Assets, Risks, & Experiences (PRAPARE) is the most common social needs protocol used for assessment of social determinants of health by U.S. hospitals, health systems, & health plans[5]
- PRAPARE is part of a national effort to collect data on social determinants of health as drivers of poor health outcomes & higher health-related costs[5]
- the National PRAPARE implementation is a recognized standardized protocol that accounts for social determinants of health[4]
- screening for social determinants of health must be done with sensitivity, cultural competence, & available intervention
- done inappropriately, it may compromise therapeutic relationships & marginalize patients[2]
Notes
- a protocol to review barriers & facilitators of screening for social determinants of health in order to develop evidence-based interventions is described[6]
More general terms
Additional terms
References
- ↑ Jump up to: 1.0 1.1 1.2 1.3 Stewart de Ramirez S, Shallat J, McClure K, Foulger R, Barenblat L. Screening for Social Determinants of Health: Active and Passive Information Retrieval Methods. Popul Health Manag. 2022 Dec;25(6):781-788. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36454231
- ↑ Jump up to: 2.0 2.1 Johnson CB, Luther B, Wallace AS, Kulesa MG. Social Determinants of Health: What Are They and How Do We Screen. Orthop Nurs. 2022 Mar-Apr 01;41(2):88-100. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35358126 Review.
- ↑ Jump up to: 3.0 3.1 Mullen LG, Oermann MH, Cockroft MC, Sharpe LM, Davison JA. Screening for the social determinants of health: Referring patients to community-based services. J Am Assoc Nurse Pract. 2023 Dec 1;35(12):835-842. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37471525
- ↑ Jump up to: 4.0 4.1 Weir RC, Proser M, Jester M, Li V, Hood-Ronick CM, Gurewich D. Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation. J Health Care Poor Underserved. 2020;31(2):1018-1035. doi:http://dx.doi.org/ 10.1353/hpu.2020.0075. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33410822
- ↑ Jump up to: 5.0 5.1 5.2 Drake C, Batchelder H, Lian T et al Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework. BMC Health Serv Res. 2021 Sep 17;21(1):975. PMID: https://www.ncbi.nlm.nih.gov/pubmed/34530826 PMCID: PMC8445654 Free PMC article.
- ↑ Jump up to: 6.0 6.1 Gagnon K, Ortiz-Siberon A, Patel ND et al Identifying facilitators, barriers, and strategies to implement social determinants of health screening, referral, and follow-up in the US: a scoping review protocol. JBI Evid Synth. 2022 Jun 1;20(6):1568-1577. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35184099 Free PMC article.