SDOH: Social Determinants of Health Screening and Interventions
Study Details
Study Description
Brief Summary
The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health.
The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The investigators will be conducting this study as a prospective, non-randomized quality improvement study that will look at patients 18 years of age and older who are admitted under the trauma and general surgery specialties. Patients will be identified through admission to the trauma or general surgery service or referred to surgery services.
Eligible patients will be identified and approached by the study team. Once the informed consent is completed, patients will be given a Social Determinants of Health Screening Tool, an Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Tool, and an short form health survey (SF-12) Quality of Life Questionnaire. Feedback from the Hospital Consumer Assessment of Healthcare Providers and Systems results will be given immediately to the relevant teams (nurses, doctors, etc.) to address the patient's concerns. Prior to discharge, the patients will also be given referrals to designated community resources. On day 15 (+/- 7 days) after discharge, the patients will receive a follow up phone call where they will be asked if they have utilized the Social Determinants of Health Referrals. Participants will also be given a second Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Survey at this time. On day 30 (+/- 7 days) after discharge, the patients will receive a follow up phone call where the participants will be asked if they utilized the Social Determinants of Health Referrals. Participants will also be given a second short form health survey (SF-12) Quality of Life Survey at this time.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Social Determinants of Health Intervention will be the Social Determinants of Health Referrals. |
Other: Social Determinants of Health Referrals
Patients who screen positive for any of the Social Determinants of Health will be given information for referral to any of the community resources that apply to their situation.
|
Outcome Measures
Primary Outcome Measures
- Patient Satisfaction Questionnaire [Within 15 days of discharge]
evaluation of patient satisfaction of hospital and staff by patient questionnaire, abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)
- Patients community services Questionnaire [Within 30 days of discharge]
evaluation of patients needs outside the hospital, social determinants of health screening tool will be utilized to assess the patients needs for various community services, including public transport, food banks, shelters
- Patient satisfaction of health status Questionnaire [within 30 days of discharge]
evaluate the patients perception of their own health with a short form health questionnaire (SF-12)
Secondary Outcome Measures
- Communication between patient and health care givers Questionnaire [Within 15 days of discharge]
patients will evaluate the communication of the hospital staff with an abbreviated hospital consumer assessment of healthcare providers and system (HCAHPS)
- Abbreviate Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Data [Within 15 days of discharge]
data will be collected on patients satisfaction level of hospital and staff
Eligibility Criteria
Criteria
Inclusion Criteria:
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18 years of age or older
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Admitted to the trauma or general surgery services
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Live within Lucas County (for county referrals)
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Patient or legally authorized representative agrees to participate and is willing to sign informed consent
Exclusion Criteria:
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Anyone less than 18 years old
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Any patient or legally authorized representative unwilling to sign informed consent
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Anyone who lives outside of Lucas County or expresses unwillingness to use referral services
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Toledo Medical Center | Toledo | Ohio | United States | 43614 |
Sponsors and Collaborators
- University of Toledo Health Science Campus
Investigators
- Principal Investigator: Heather Klepacz, MD, University of Toledo
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SDOH Study