TY - JOUR
T1 - Unmet social needs and no-show visits in primary care in a US Northeastern urban health system, 2018–2019
AU - Fiori, Kevin P.
AU - Heller, Caroline G.
AU - Rehm, Colin D.
AU - Parsons, Amanda
AU - Flattau, Anna
AU - Braganza, Sandra
AU - Lue, Kelly
AU - Lauria, Molly
AU - Racine, Andrew
N1 - Publisher Copyright:
© 2020 American Public Health Association Inc.. All rights reserved.
PY - 2020/7
Y1 - 2020/7
N2 - Objectives. To characterize the association between social needs prevalence and no-show proportion and variation in these associations among specific social needs. Methods. In this study, we used results from a 10-item social needs screener conducted across 19 primary care practices in a large urban health system in Bronx County, New York, between April 2018 and July 2019. We estimated the association between unmet needs and 2-year history of missed appointments from 41 637 patients by using negative binomial regression models. Results. The overall no-show appointment proportion was 26.6%. Adjusted models suggest that patients with 1 or more social needs had a significantly higher no-show proportion (31.5%) than those without any social needs (26.3%), representing an 19.8% increase (P < .001). We observed a positive trend (P < .001) between the number of reported social needs and the no-show proportion—26.3% for those with no needs, 30.0% for 1 need, 32.1% for 2 needs, and 33.8% for 3 or more needs. The strongest association was for those with health care transportation need as compared with those without (36.0% vs 26.9%). Conclusions. We found unmet social needs to have a significant association with missed primary care appointments with potential implications on cost, quality, and access for health systems.
AB - Objectives. To characterize the association between social needs prevalence and no-show proportion and variation in these associations among specific social needs. Methods. In this study, we used results from a 10-item social needs screener conducted across 19 primary care practices in a large urban health system in Bronx County, New York, between April 2018 and July 2019. We estimated the association between unmet needs and 2-year history of missed appointments from 41 637 patients by using negative binomial regression models. Results. The overall no-show appointment proportion was 26.6%. Adjusted models suggest that patients with 1 or more social needs had a significantly higher no-show proportion (31.5%) than those without any social needs (26.3%), representing an 19.8% increase (P < .001). We observed a positive trend (P < .001) between the number of reported social needs and the no-show proportion—26.3% for those with no needs, 30.0% for 1 need, 32.1% for 2 needs, and 33.8% for 3 or more needs. The strongest association was for those with health care transportation need as compared with those without (36.0% vs 26.9%). Conclusions. We found unmet social needs to have a significant association with missed primary care appointments with potential implications on cost, quality, and access for health systems.
UR - http://www.scopus.com/inward/record.url?scp=85088033559&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85088033559&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2020.305717
DO - 10.2105/AJPH.2020.305717
M3 - Article
C2 - 32663075
AN - SCOPUS:85088033559
SN - 0090-0036
VL - 110
SP - S242-S250
JO - American journal of public health
JF - American journal of public health
ER -