Complexities in Integrating Social Risk Assessment into Health Care Delivery

[摘要] The health care sector is mobilizing to identify and intervene on social risks that impact health.1 Social risk screening under the Centers for Medicare and Medicaid Innovation Accountable Health Communities demonstration project has led to multiple observations of high acceptability of social risk screening in primary care and emergency department patients.2 Patients report insights into the recognition of social risks impacting their own health and reflect on the limitations of the health care sector in addressing social adversity.3 However, there is a lack of clarity on who should be screened and when, who should do the screening, and how this new procedure should be implemented in the health sector. A United States Preventive Services Task Force workgroup is developing a road map toward prioritizing social determinants of health as a clinical preventive service.4 In addition, there are lessons to be learned from using Social Deprivation or Area Deprivation Indices to develop payment programs that can institutionalize social risk screening and linkages to necessary social supports in the health care sector.

[学科分类] 过敏症与临床免疫学