Practice capacity to address patients’ social needs and physician satisfaction and perceived quality of care
Open accessAbstract
Recent studies have explored clinician impacts of health care-based interventions that respond to patients' social and economic needs. These studies were limited by available clinician data. We used the Commonwealth International Health Policy Survey of 890 primary care physicians to examine associations between clinic capacity to respond to patients' social needs and physician satisfaction, stress, and perceived medical care quality. Results suggest that perceived capacity to address social needs is strongly associated with both clinician satisfaction and perceived medical care quality. Our findings add to a growing literature on the potential return on investment of clinical interventions to address social needs.
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Clinicians who lack resources to assist with patients' social risks might choose not to document them, even if they were endorsed by patients during clinical encounters.
“Clinicians who lack resources to assist with patients' social risks might choose not to document them, even if they were endorsed by patients during clinical encounters.17”
From Structured and unstructured social risk factor documentation in the electronic health record underestimates patients’ self-reported risks (2024) · cites this paper as [17]
The Methods describe physicians’ perceived capacity to manage patients’ social needs, and the Discussion relates that capacity to job satisfaction and perceived quality of care. Neither section addresses whether clinicians omit documentation of social risks that patients disclosed; searches for documentation and screening found no such passage. (LLM, conf=0.75)
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- Gottlieb LM, Wing H, Adler NE. A systematic review of interven- tions on patients' social and economic needs. Am J Prev Med. 2017; 53(5): 719-729.
- Olayiwola JN, Willard-Grace R, Dubé K, et al. Higher perceived clinic capacity to address patients' social needs associated with lower burnout in primary care providers. J Health Care Poor Under- served. 2018; 29(1): 415-429.
- De Marchis EH, Knox M, Hessler D, et al. Perceived clinic capacity to address patients' social needs and family physician burnout. J Am Board Fam Med. 2019. In press.
- Whitebird RR, Solberg LI, Crain AL, et al. Clinician burnout and satisfaction with resources in caring for complex patients. Gen Hosp Psychiatry. 2017; 44: 91-95.
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Iott, B. E., Rivas, S., Gottlieb, L. M., Adler-Milstein, J., & Pantell, M. S. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad261 · Cited by 17 · see citing works
Self-citation
- Authors
- Pantell, M. S., De Marchis, E., Bueno, A., & Gottlieb, L. M.
- Affiliations
- University of California, San Francisco (US)
- Venue
- The Annals of Family Medicine
- Publisher
- Annals of Family Medicine
- Published
- 2019-01
- Volume
- 17
- Issue
- 1
- Pages
- 42-45
- ISSN
- 1544-1709 (ISSN-L)
- 1544-1717
- PMC
- PMC6342584
- OpenAlex
- W2912871884
- Cited by
- 35
- References
- 0
- Citations by year
- 2026: 5 · 2024: 6 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 7 · 2019: 2
- FWCI
- 6.48
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The Annals of Family Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Robert Wood Johnson Foundation (74930)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- social determinants of health, social needs, primary care physicians, physician satisfaction, physician stress, perceived quality of care, clinic capacity, return on investment
- MeSH terms
- Occupational Stress, Adult, Aged, Female, Health Services Needs and Demand, Humans, Job Satisfaction, Male, Middle Aged, Quality of Health Care, Surveys and Questionnaires, Social Work, United States, Physicians, Primary Care
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