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ABSTRACT: Background
Health care systems are increasingly partnering with community-based organizations to address social determinants of health (SDH). We established a program that educates and connects patients with SDH needs at a primary care clinic to community services and facilitated referrals.Objective
To evaluate the effect of addressing SDH soon after discharge on hospital readmission in a clinic population.Design
Pre/post, quasi-experimental design with longitudinal data analysis for quality improvement.Participants
Clinic patients (n = 754) having at least one hospital discharge between June 1, 2020, and October 31, 2021, were included. Of these, 145 patients received the intervention and 609 served as comparison.Interventions
A primary care liaison
SUBMITTER: Kim J
PROVIDER: S-EPMC11618550 | biostudies-literature | 2024 Dec
REPOSITORIES: biostudies-literature