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Table 4 Staff members’ perspectives by question

From: Evaluation of a social determinants of health screening questionnaire and workflow pilot within an adult ambulatory clinic

Statements

All (N = 20)

Physicians (N = 3)

MAs (N = 7)

PSRs (N = 5)

Other staff (N = 5)

Strongly agree/Agree N (%)

Effectiveness

 Potential for SDOH survey and standard work to positively impact patients

  Patients’ unmet social needs information could be used to improve patient care and health outcomes

18 (90%)

2 (67%)

6 (86%)

5 (100%)

5 (100%)

  Patients’ unmet social needs information could be used to improve therapeutic relationship with patients

18 (90%)

2 (67%)

6 (86%)

5 (100%)

5 (100%)

  Patients might feel uncomfortable answering questions about their unmet social needs

16 (80%)

2 (67%)

6 (86%)

4 (80%)

4 (80%)

  Having access to patients’ unmet social needs information would influence physician’s medical decision

0 (0%)

1 (33%)

N/A

N/A

N/A

Adoption

 Relevance of SDOH survey and standard work in clinical setting

  Collecting social needs information is within the scope of clinical care

19 (95%)

3 (100%)

7 (100%)

5 (100%)

4 (80%)

  Many patients in the clinic have unmet social needs that impact their health

16 (80%)

3 (100%)

4 (57%)

4 (80%)

5 (100%)

 Utility of SDOH survey and standard work for achieving intended aims

  SDOH survey improves clinic’s ability to identify patients with unmet social needs

18 (90%)

2 (67%)

7 (100%)

5 (100%)

4 (80%)

  The SDOH survey asks all relevant questions

16 (80%)

3 (100%)

5 (71%)

4 (80%)

4 (80%)

  SDOH survey increases the likelihood that patients are connected with case management and social services

17 (85%)

2 (67%)

7 (100%)

4 (80%)

4 (80%)

Implementation

 Knowledge and availability of needed resources in clinical setting to achieve positive impact for patients

  I am aware of Sutter resources available to address patients’ social needs

10 (50%)

1 (33%)

3 (43%)

2 (40%)

4 (80%)

  I am confident in my ability to help patients address their social needs

10 (50%)

0 (0%)

4 (57%)

2 (40%)

3 (60%)

  I understand my role in offering the SDOH survey to patients

17 (85%)

2 (67%)

7 (100%)

4 (80%)

4 (80%)

 Barriers to implementing SDOH survey and standard work

Major barrier/Barrier (N(%))

  Lack of time for patients to complete survey

15 (75%)

3 (100%)

6 (86%)

3 (60%)

3 (60%)

  Lack of training about administering survey

4 (20%)

1 (33%)

1 (14%)

1 (20%)

1 (20%)

  Lack of training about how to respond to social needs

9 (45%)

1 (33%)

3 (43%)

3 (60%)

2 (40%)

  Lack of time to respond to social needs

13 (65%)

1 (33%)

5 (71%)

2 (40%)

3 (60%)

  Lack of resources to address social needs

9 (45%)

2 (67%)

2 (29%)

2 (40%)

3 (60%)