The DOI matches its Crossref record; 8 of the 10 references it cites were found in a registry or an index.
Addressing Social Determinants of Health in a Clinic Setting: The WellRx Pilot in Albuquerque, New Mexico.
Open accessAbstract
Although it is known that the social determinants of health have a larger influence on health outcomes than health care, there currently is no structured way for primary care providers to identify and address nonmedical social needs experienced by patients seen in a clinic setting. We developed and piloted WellRx, an 11-question instrument used to screen 3048 patients for social determinants in 3 family medicine clinics over a 90-day period. Results showed that 46% of patients screened positive for at least 1 area of social need, and 63% of those had multiple needs. Most of these needs were previously unknown to the clinicians. Medical assistants and community health workers then offered to connect patients with appropriate services and resources to address the identified needs. The WellRx pilot demonstrated that it is feasible for a clinic to implement such an assessment system, that the assessment can reveal important information, and that having information about patients' social needs improves provider ease of practice. Demonstrated feasibility and favorable outcomes led to institutionalization of the WellRx process at a university teaching hospital and influenced the state department of health to require managed care organizations to have community health workers available to care for Medicaid patients.
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“Some studies have already shown promise in both the logistical feasibility and clinical utility of these instruments [77].”
From Bias in medical AI: Implications for clinical decision-making (2024) · cites this paper as [77]
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Social determinants of health inequalities
Marmot, M. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71146-6 · Cited by 5,086
We can do better―improving the health of the American people
Schroeder, S. A. (2007) · New England Journal of Medicine · doi:10.1056/nejmsa073350 · Cited by 1,065
Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015) · Pediatrics · doi:10.1542/peds.2014-2888 · Cited by 643
Mortality Attributable to Low Levels of Education in the United States
Krueger, P. M., Tran, M. K., Hummer, R. A., & Chang, V. W. (2015) · PLoS ONE · doi:10.1371/journal.pone.0131809 · Cited by 111
Community Health Workers and Medicaid Managed Care in New Mexico
Johnson, D., Saavedra, P., Sun, E., Stageman, A., Grovet, D., Alfero, C., Maynes, C., SKIPPER, B. J., Powell, W., & Kaufman, A. (2011) · Journal of Community Health · doi:10.1007/s10900-011-9484-1 · Cited by 81
Self-citationUse of lay health educators for smoking cessation in a hard-to-reach urban community
Lacey, L., Tukes, S., Manfredi, C., & Warnecke, R. (1991) · Journal of community health · doi:10.1007/bf01320335 · Cited by 37
McCalmont, K., Norris, J., Garzón, A., Cisneros, R., Greene, H., Regino, L., Sandoval, Gomez, R., Page‐Reeves, J., & Kaufman, A. (2016) · PubMed · Cited by 18
Self-citationCantor, J. C., Chakravarty, S., Tong, J., Yedidia, M. J., Lontok, O., & DeLia, D. (2014) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-2822622 · Cited by 12
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Bias in medical AI: Implications for clinical decision-making
Cross, J. L., Choma, M. A., & Onofrey, J. A. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000651 · Cited by 607
Roles and Functions of Community Health Workers in Primary Care
Hartzler, A. L., Tuzzio, L., Hsu, C. W., & Wagner, E. H. (2018) · The Annals of Family Medicine · doi:10.1370/afm.2208 · Cited by 340
Kreuter, M. W., Thompson, T., McQueen, A., & Garg, R. (2020) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-090419-102204 · Cited by 352
Part II: a qualitative study of social risk screening acceptability in patients and caregivers
Byhoff, E., De Marchis, E. H., Hessler, D., Fichtenberg, C., Adler, N., Cohen, A. J., Doran, K. M., Ettinger de Cuba, S., Fleegler, E. W., Gavin, N., et al. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2019.07.016 · Cited by 255
Clinician Experiences with Screening for Social Needs in Primary Care
Tong, S. T., Liaw, W. R., Kashiri, P. L., Pecsok, J., Rozman, J., Bazemore, A. W., & Krist, A. H. (2018) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2018.03.170419 · Cited by 173
Metadata
- Authors
- Page-Reeves, J., Kaufman, W., Bleecker, M., Norris, J., McCalmont, K., Ianakieva, V., Ianakieva, D., & Kaufman, A.
- Affiliations
- University of New Mexico (US)
- ORCID
- Kaufman, A.
- Venue
- The Journal of the American Board of Family Medicine
- Published
- 2016-05-01
- Volume
- 29
- Issue
- 3
- Pages
- 414-418
- ISSN
- 1557-2625 (ISSN-L)
- 1558-7118
- OpenAlex
- W2384838247
- Cited by
- 172
- References
- 10
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 20 · 2023: 26 · 2022: 18 · 2021: 16 · 2020: 19 · 2019: 17 · 2018: 12 · 2017: 8 · 2016: 6
- FWCI
- 18.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of the American Board of Family Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Keywords
- social determinants of health, social needs screening, primary care, community health workers, medical assistants, Medicaid, managed care, feasibility, Albuquerque
- MeSH terms
- Community Health Workers, Family Practice, Feasibility Studies, Health Policy, Humans, Insurance, Health, Reimbursement, Medicaid, New Mexico, Pilot Projects, Primary Health Care, Surveys and Questionnaires, Referral and Consultation, Socioeconomic Factors, United States, Social Determinants of Health
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