Article ; Online: Social determinants of health screening and intervention: A cystic fibrosis quality improvement process.
2022 Volume 57, Issue 12, Page(s) 3035–3043
Abstract: Introduction: Lower socioeconomic status is associated with significantly poorer outcomes in weight, lung function, and pulmonary exacerbation rates in people with cystic fibrosis (PwCF).: Global aim: We aim to reduce health disparities and ... ...
| Abstract | Introduction: Lower socioeconomic status is associated with significantly poorer outcomes in weight, lung function, and pulmonary exacerbation rates in people with cystic fibrosis (PwCF). Global aim: We aim to reduce health disparities and inequities faced by PwCF by screening for and addressing unmet social needs. Specific aims: We aimed to increase routine social determinants of health (SDoH) screening of eligible PwCF from 0% to 95% and follow-up within 2 weeks for those PwCF who screened positive and requested assistance from 0% to 95% by December 31, 2021. Methods: The Model for Improvement methodology was used. A process map and a simplified failure mode effects analysis chart were created for the screening and SDoH follow-up process. For those who screened positive for SDoH and requested assistance, follow-up contact was made to offer intervention. Intervention: Adult PwCF who had at least one UVA Clinic encounter in 2021 were screened for SDoH. The SDoH screening tool included eight domains: housing, food, transportation, utilities, health-care access, medication access, income/employment, and education. Follow-up was completed with all PwCF who screened positive for SDoH. Results: A total of 132 of 142 (93.0%) PwCF eligible for screening completed the SDoH screening. Of the PwCF who completed screening, 56 (42.4%) screened positive for SDoH. A follow-up rate of 100% was achieved in June 2021 and maintained through December 2021. Conclusion: Implementing screening for SDOH and follow-up to mitigate social difficulties in adult PwCF at UVA was successful and could be reproduced at other CF care centers. |
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| MeSH term(s) | Adult ; Humans ; Social Determinants of Health ; Quality Improvement ; Cystic Fibrosis/diagnosis ; Mass Screening/methods ; Income |
| Language | English |
| Publishing date | 2022-09-14 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 632784-9 |
| ISSN | 1099-0496 ; 8755-6863 |
| ISSN (online) | 1099-0496 |
| ISSN | 8755-6863 |
| DOI | 10.1002/ppul.26131 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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