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• W2949430119 abstract "Programs addressing social determinants of health for high-utilizing patients are gaining interest among health systems as an avenue to promote health and decrease utilization.To evaluate impacts of a social needs screening and navigation program for adult predicted high utilizers on total medical visit utilization.A prospective, quasi-experimental study using an intent-to-treat propensity-weighted difference-in-differences approach. Stratified analyses assessed intervention effects among three low-socioeconomic status sub-samples: patients in low-income areas, in low-education areas, and with Medicaid insurance.Predicted high utilizers-patients predicted to be in the highest 1% for total utilization in a large integrated health system.A telephonic social needs screening and navigation program.Primary difference-in-difference analyses compared total visit count utilization, including outpatient, emergency department (ED), and inpatient utilization, between the intervention and control groups at both in-network and out-of-network facilities. Prevalence of social needs among sample patients and their connection rates to social needs resources are also described.The study included 34,225 patients (7107 intervention, 27,118 control). Most (53%) patients screened reported social needs, but only a minority (10%) of those with a need were able to connect with resources to address these needs. Primary analysis found total utilization visits decreased 2.2% (95% CI - 4.5%, 0.1%; p = 0.058) in the intervention group. Stratified analyses showed decreases in total utilization for all low-socioeconomic status subgroups receiving the intervention compared with controls: - 7.0% (95% CI - 11.9%, - 1.9%; p = 0.008) in the low-income area group, - 11.5% (- 17.6%, 5.0%; p < 0.001) in the low-education area group, and - 12.1% (- 18.1%, - 5.6%; p < 0.001) in the Medicaid group.Social needs navigation programs for high-utilizing patients may have modest effects on utilization for the population overall. However, significant decreases in utilization were found among low-socioeconomic status patients more likely to experience social needs." @default.
• W2949430119 created "2019-06-27" @default.
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• W2949430119 date "2019-06-21" @default.
• W2949430119 modified "2023-10-17" @default.
• W2949430119 title "Impact of Social Needs Navigation on Utilization Among High Utilizers in a Large Integrated Health System: a Quasi-experimental Study" @default.
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• W2949430119 doi "https://doi.org/10.1007/s11606-019-05123-2" @default.
• W2949430119 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6848288" @default.
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