This paper describes a social determinants of health (SDoH) assessment developed by Dr. Welch that was used by front-line clinician teams in a busy community health center. The assessment allowed clinicians to quickly refer high-risk diabetes patients with identified SDoH issues to social support services and resources in the care network and community. The assessment and referral process were found to be acceptable to clinicians working with a Latino population with diabetes, and the use of the SDoH assessment and intervention were associated with improved HbA1c and quality of life outcomes. This study informed Silver Fern’s development of the Social Functioning Module. (Full paper available online.)
Reducing social distress for chronic disease patients in primary care. (2017) Diabetes Spectrum.
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