2022
DOI: 10.3122/jabfm.2022.01.210093
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Multistakeholder Perspectives on Data Sharing to Address Patient Food Insecurity

Abstract: Background: Social determinants of health (SDOH) influence health outcomes. Food insecurity (FI) is the most common need related to SDOH. Many primary care practices and health systems have begun to screen for FI and refer patients to resources. How this process is viewed by multiple stakeholders, including patients, health care workers, and staff at food assistance organizations (FAOs), will influence its impact.Methods: In this mixed-methods study, we completed 42 interviews with individuals from the 3 stake… Show more

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Cited by 9 publications
(11 citation statements)
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References 38 publications
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“…This research empirically demonstrates the need for a patient‐ and person‐centred approach to social needs screening (Eklund et al., 2019; Oregon Primary Care Association, n.d.; Singer & Hood‐Ronick, n.d.) and suggests specific strategies for communicating about HRSN that are relationship‐centred, and therefore likely to minimise shame and build trust (Schoenthaler et al., 2019). Our results build on those of previous studies noting the need for HRSN screening initiatives to attend to patient concerns about privacy, stigma, public‐charge, and reports to child protective services (Barnidge et al., 2017, 2020; Knowles et al., 2018; Nederveld et al., 2022). Our findings also provide concrete examples of the valuable role that practice staff such as care managers play in facilitating efforts to address social needs.…”
Section: Discussionsupporting
confidence: 85%
“…This research empirically demonstrates the need for a patient‐ and person‐centred approach to social needs screening (Eklund et al., 2019; Oregon Primary Care Association, n.d.; Singer & Hood‐Ronick, n.d.) and suggests specific strategies for communicating about HRSN that are relationship‐centred, and therefore likely to minimise shame and build trust (Schoenthaler et al., 2019). Our results build on those of previous studies noting the need for HRSN screening initiatives to attend to patient concerns about privacy, stigma, public‐charge, and reports to child protective services (Barnidge et al., 2017, 2020; Knowles et al., 2018; Nederveld et al., 2022). Our findings also provide concrete examples of the valuable role that practice staff such as care managers play in facilitating efforts to address social needs.…”
Section: Discussionsupporting
confidence: 85%
“…As described by Little et al [19], this expressed wish for more autonomy reflects a tension in the patient-healthcare provider relationship: by striving to improve patient health equity through food prescriptions, health providers risk reinforcing the paternalistic tradition of dictating how care, in this case food, is provided to patients. Empowering patients to participate in improving and sustaining their health and to form a more equitable patient-provider relationship has been emphasized in primary care [32] of late. Perhaps being prescribed a guaranteed income or at the very least, food vouchers, would be more empowering for food insecure patients than receiving a food box.…”
Section: Discussionmentioning
confidence: 99%
“…To that end, targeted interventions must recognize the embeddedness of individuals within systems, and in response, integrate more comprehensive socio-ecological (interpersonal, institutional, community, and policy) approaches that sustain long-lasting impact on behavior change, health outcomes, and health equity ( 42 44 ). Notwithstanding issues stemming from competing organizational priorities and sharing sensitive patient data, institutions stand to benefit from enhanced productivity when they willingly (i) leverage collaborative opportunities for data exchange, grant funding, and multi-level program delivery approaches, (ii) jointly participate in developing resource directories to facilitate closed-loop care coordination efforts, and (iii) link silos of excellence in SDOH efforts to create holistic ecosystems of care that address co-occurring SDOH needs at multiple levels of influence ( 45 47 ). These actionable approaches have been strategically operationalized across the HEC's workgroup sessions, networking events, and ongoing efforts to build an integrative technology platform that coordinates care delivery between healthcare and social services sectors.…”
Section: Discussionmentioning
confidence: 99%