Social Determinants of Health Screening and Interventions



Status:Enrolling by invitation
Healthy:No
Age Range:18 - Any
Updated:9/9/2018
Start Date:May 14, 2018
End Date:May 2019

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Patient Perceptions of Care: The Effects of Social Determinants of Health

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.

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.

Inclusion Criteria:

- 18 years of age or older

- Admitted to the trauma or general surgery services

- Live within Lucas County (for county referrals)

- Patient or legally authorized representative agrees to participate and is willing to
sign informed consent

Exclusion Criteria:

- Anyone less than 18 years old

- Any patient or legally authorized representative unwilling to sign informed consent

- Anyone who lives outside of Lucas County or expresses unwillingness to use referral
services
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