Annals of Family Medicine

NOVEMBER 20, 2024

Results: Key priorities across all sectors included access to behavioral health, economic mobility, social cohesion, and transportation.

Community 130

Community Diabetes Referral Screening 130

Annals of Family Medicine

NOVEMBER 20, 2024

Sodium-glucose transporter 2 (SGLT-2) inhibitors have been proved to decrease the cardiovascular adverse events in several large randomized controlled trials (RCTS), but evidence limited to patients with type 2 diabetes and ASCVD. Setting or Dataset Five electronic systems of community clinic.

Hypertension 130

Hypertension Diabetes Patients Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Implementation of electronic health record SDOH questionnaires is more common in health care institutions and allows for individual-level assessment of social risk in a primary care setting. Context Social determinants of health (SDOH) such as access to care and economic stability negatively impact colorectal cancer (CRC) screening rates.

Screening 130

Screening Primary Care Relationship Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Demographic data obtained from electronic health record included age, gender, race, and rurality, along with practice location, medical complexity and outpatient visits. Gender, medical complexity and patient reported intimate partner violence are not associated with attaining D5 metric.

Diabetes 130

Diabetes Primary Care Relationship Transportation 130

Annals of Family Medicine

NOVEMBER 20, 2024

Integration of patient reported social risk questionnaires in electronic health records allows for assessment of individual-level SES, but this data is frequently missing. vs 3.4%, transportation risk 3.3% Context Socioeconomic status (SES) is one of the key determinants of health among rural populations. live in rural areas.

Primary Care 130

Primary Care Patients Transportation Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. About 90% were either currently or formerly undocumented, 2/3 spoke Spanish, 2/3 made <$50,000 annually, and 1/3 reported inadequate transportation. Our Community Advisory Board (CAB) guided this work.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130