This study is being done to determine if assistance in accessing community resources can improve health outcomes. Social determinants of health are the conditions in which individuals are born, work and live that can impact health. These can include access to healthcare, healthy food, education, safe neighborhoods, transportation, political and social environments that are safe and fair.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
12
An organization that connects community volunteers to individuals in need to help overcome life's challenges.
Mayo Clinic Arizona
Scottsdale, Arizona, United States
Change in Participant Center for Medicare and Medicaid Services (CMS) Accountable Health Social Determinants of Health (SDOH) Screening Assessment
Evaluated using the CMS Accountable Health SDOH Screening Tool used to assess patient needs across the following domains: house instability, food insecurity, transportation problems, utility help needs, interpersonal safety, financial strain, employment, family and community support, education, physical activity, substance use, mental health, and disabilities that community services can help with. If the participant chose the underlined option, they might have an unmet health-related social need. Only domains where an unmet health-related social need was identified was included in the analysis.
Time frame: Baseline and 12 months
Change in Resilience
Evaluated using the 6-item Brief Resilience Scale (BRS) questionnaire assessing the participants ability to bounce back on a 1-5 scale range. Total questions scores are divided by total number of questions answered for a final score range from 1.00-2.99 = low resilience; 3.00-4.30 = normal resilience; 4.31-5.00 = high resilience.
Time frame: Baseline and 12 months
Hospitalizations
Difference in total number of hospitalizations in the 12 months before intervention and 12 months during intervention.
Time frame: Baseline and 12 months
Emergency Room Visits
Difference in total number of emergency room visits in the 12 months before intervention and 12 months during intervention.
Time frame: Baseline and 12 months
Primary Care Visits
Difference in total number of primary care visits in the 12 months before intervention and 12 months during intervention.
Time frame: Baseline and 12 months
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