Leveraging Integrated Primary Care to Address Patients' and Families' Unmet Social Needs: Aligning Practice with National Academy of Sciences, Engineering and Medicine Recommendations

Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate identification of practice and clinician-level modifiable characteristics and assist practices to address unmet social needs for patients an...

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Veröffentlicht in:Journal of the American Board of Family Medicine Jg. 35; H. 1; S. 185
Hauptverfasser: Poleshuck, Ellen, Possemato, Kyle, Johnson, Emily M, Cohen, Alicia J, Fogarty, Colleen T, Funderburk, Jennifer S
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.01.2022
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ISSN:1558-7118, 1558-7118
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Abstract Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate identification of practice and clinician-level modifiable characteristics and assist practices to address unmet social needs for patients and families. A recent National Academies of Sciences, Engineering, and Medicine (NASEM)'s consensus report identified 5 critical system-level activities to facilitate the integration of addressing social needs into health care: awareness (ask patients), adjustment (flexible intervention delivery), assistance (intervention to address the social need), alignment (link with community resources), and advocacy (policy change). This article outlines how integrated primary care characteristics, such as routine screening, functional workflows, interprofessional team communication, and patient-centered practices, exemplify the NASEM report's activities and offer robust biopsychosocial tools for addressing social needs. We provide a case to illustrate how these strategies might be used in practice.
AbstractList Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate identification of practice and clinician-level modifiable characteristics and assist practices to address unmet social needs for patients and families. A recent National Academies of Sciences, Engineering, and Medicine (NASEM)'s consensus report identified 5 critical system-level activities to facilitate the integration of addressing social needs into health care: awareness (ask patients), adjustment (flexible intervention delivery), assistance (intervention to address the social need), alignment (link with community resources), and advocacy (policy change). This article outlines how integrated primary care characteristics, such as routine screening, functional workflows, interprofessional team communication, and patient-centered practices, exemplify the NASEM report's activities and offer robust biopsychosocial tools for addressing social needs. We provide a case to illustrate how these strategies might be used in practice.Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate identification of practice and clinician-level modifiable characteristics and assist practices to address unmet social needs for patients and families. A recent National Academies of Sciences, Engineering, and Medicine (NASEM)'s consensus report identified 5 critical system-level activities to facilitate the integration of addressing social needs into health care: awareness (ask patients), adjustment (flexible intervention delivery), assistance (intervention to address the social need), alignment (link with community resources), and advocacy (policy change). This article outlines how integrated primary care characteristics, such as routine screening, functional workflows, interprofessional team communication, and patient-centered practices, exemplify the NASEM report's activities and offer robust biopsychosocial tools for addressing social needs. We provide a case to illustrate how these strategies might be used in practice.
Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate identification of practice and clinician-level modifiable characteristics and assist practices to address unmet social needs for patients and families. A recent National Academies of Sciences, Engineering, and Medicine (NASEM)'s consensus report identified 5 critical system-level activities to facilitate the integration of addressing social needs into health care: awareness (ask patients), adjustment (flexible intervention delivery), assistance (intervention to address the social need), alignment (link with community resources), and advocacy (policy change). This article outlines how integrated primary care characteristics, such as routine screening, functional workflows, interprofessional team communication, and patient-centered practices, exemplify the NASEM report's activities and offer robust biopsychosocial tools for addressing social needs. We provide a case to illustrate how these strategies might be used in practice.
Author Poleshuck, Ellen
Cohen, Alicia J
Fogarty, Colleen T
Possemato, Kyle
Johnson, Emily M
Funderburk, Jennifer S
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  givenname: Ellen
  surname: Poleshuck
  fullname: Poleshuck, Ellen
  email: Ellen_Poleshuck@urmc.rochester.edu
  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF). Ellen_Poleshuck@urmc.rochester.edu
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  givenname: Kyle
  surname: Possemato
  fullname: Possemato, Kyle
  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF)
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  givenname: Emily M
  surname: Johnson
  fullname: Johnson, Emily M
  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF)
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  givenname: Alicia J
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  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF)
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  givenname: Colleen T
  surname: Fogarty
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  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF)
– sequence: 6
  givenname: Jennifer S
  surname: Funderburk
  fullname: Funderburk, Jennifer S
  organization: From the Department of Veterans Affairs, VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY (EP, KP, EMJ, JSF); Departments of Psychiatry and Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, NY (EP); Department of Psychology, Syracuse University, Syracuse NY (KP); Veterans Affairs Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI (AJC); Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI (AJC); Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI (AJC); Department of Family Medicine, University of Rochester Medical Center, Rochester, NY (CTF, JSF); Department of Psychiatry, University of Rochester Medical Center, Rochester, NY (JSF)
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Issue 1
Keywords Team-Based Care
Social Determinants of Health
Patient-Centered Care
Integrated Delivery of Health Care
Patient Care Team
Social Risk Factors
Social Needs
Primary Health Care
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Snippet Primary care is well-poised to address unmet social needs that affect health. Integrated primary care is increasingly common and can be leveraged to facilitate...
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SubjectTerms Communication
Delivery of Health Care
Humans
Mass Screening
National Academy of Sciences, U.S
Primary Health Care
United States
Title Leveraging Integrated Primary Care to Address Patients' and Families' Unmet Social Needs: Aligning Practice with National Academy of Sciences, Engineering and Medicine Recommendations
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