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 - Funding Information:
The authors would like to thank the Doris Duke Charitable Foundation (grant 2018169) and the Agency for Healthcare Research and Quality (K12HS026396) for their financial support of this analysis.
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.
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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 -
