Screening and Referral Care Delivery Services and Unmet Health-Related Social Needs: A Systematic Review
SYSTEMATIC REVIEW — Volume 18 — August 12, 2021
PEER REVIEWED
The process flow diagram illustrates the processes and potential impact on outcomes of screening and referral-based delivery services for addressing unmet health-related social needs among patients in a healthcare setting. The process begins with screening patients for unmet health-related social needs at a healthcare site. This step is followed by referral to appropriate resources that then allows patients to connect with the resources. Connecting with resources can further affect outcomes related to experience of care, population health, and cost.
Figure 1.
Processes and potential impact on outcomes of screening and referral-based delivery services for addressing unmet health-related social needs among patients in a healthcare setting.
The flow diagram shows the exclusion and inclusion process during the literature review according to Preferred Reported Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The PubMed database search strategy resulted in 1,821 records, of which 1,779 were excluded before full-text review. 42 articles were assessed for eligibility, of which 24 did not meet the inclusion criteria for the following reasons: 1 article did not implement the intervention in a health care setting, 7 did not meet the definition of a screening and referral program, 3 did not clearly screen on-site, and 13 articles did not assess outcomes. Eighteen studies met the inclusion criteria, and 17 were added after assessing bibliographies of eligible studies. A total of 35 studies were included in the final review.
Figure 2.
PRISMA (Preferred Reported Items for Systematic Reviews and Meta-Analysis) diagram for identification of included studies.
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