Associations Between Patients’ Unmet Social Needs and Self-Reported Health Confidence at One Primary Care Clinic

Autor: Heather Bleacher, Aimee English, William Leblanc, L. Miriam Dickinson
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Primary Care & Community Health, Vol 11 (2020)
Druh dokumentu: article
ISSN: 2150-1327
21501327
DOI: 10.1177/2150132720921329
Popis: Social determinants of health affect a person’s health at least as much as their interactions with the healthcare system. Increased patient activation and self-efficacy are associated with decreased cost and improved quality. Patient-reported health confidence has been proposed as a more easily measured proxy for self-efficacy. Evaluation of the association between unmet social needs and health confidence is limited. Our objective was to identify and address our patients’ unmet social needs and assess health confidence levels. From November 2017 through July 2018 we screened 2018 patients of an urban academic family medicine residency practice for unmet social needs, measured their health confidence, and made referrals to community resources if desired. Patients reporting the presence of any social need reported lower health confidence scores on average than those with no needs (8.49 vs 9.30, median 9 vs 10, Wilcoxon test P < .001). Low health confidence scores (
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