The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps

Kaitlyn K. Stanhope; Anna Goebel; Monica Simmonds; Patience Timi; Sristi Das; Asha Immanuelle; Denise J. Jamieson; Sheree L Boulet

doi:10.1016/j.jnma.2023.06.002

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The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps

Journal article

Peer reviewed

The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps

Kaitlyn K. Stanhope, Anna Goebel, Monica Simmonds, Patience Timi, Sristi Das, Asha Immanuelle, Denise J. Jamieson and Sheree L Boulet

Journal of the National Medical Association, Vol.115(4), pp.405-420

08/2023

DOI: 10.1016/j.jnma.2023.06.002

PMCID: PMC10526693

PMID: 37330393

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https://pmc.ncbi.nlm.nih.gov/articles/PMC10526693/pdf/nihms-1908820.pdfView

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Abstract

Increasingly, policymakers and professional organizations support screening for social assets and risks during clinical care. Scant evidence exists on how screening impacts patients, providers, or health systems. To systematically review published literature for evidence of the clinical utility of screening for social determinants of health in clinical obstetric and gynecologic (OBGYN) care. We systematically searched Pubmed (March 2022, 5,302 identified) and identified additional articles using hand sorting (searching articles citing key articles (273 identified) and through bibliography review (20 identified)). We included all articles that measured a quantitative outcome of systematic social determinants of health (SDOH) screening in an OBGYN clinical setting. Each identified citation was reviewed by two independent reviewers at both the title/abstract and full text stages. We identified 19 articles for inclusion and present the results using narrative synthesis. The majority of articles reported on SDOH screening during prenatal care (16/19) and the most common SDOH was intimate partner violence (13/19 studies). Overall, patients had favorable attitudes towards SDOH screening (in 8/9 articles measuring attitudes), and referrals were common following positive screening (range 5.3%-63.6%). Only two articles presented data on the effects of SDOH screening on clinicians and none on health systems. Three articles present data on resolution of social needs, with inconsistent results. Limited evidence exists on the benefits of SDOH screening in OBGYN clinical settings. Innovative studies leveraging existing data collection are needed to expand and improve SDOH screening.

Prenatal Care

Social Medicine

Gynecologic care

Social determinants of health

Whole-person care

Details

Title: Subtitle: The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps
Creators: Kaitlyn K. Stanhope - Emory University
Anna Goebel - Emory University
Monica Simmonds - Black Women for Wellness
Patience Timi - Emory University
Sristi Das - Emory University
Asha Immanuelle - Black Women for Wellness
Denise J. Jamieson - Emory University
Sheree L Boulet - Emory University
Resource Type: Journal article
Publication Details: Journal of the National Medical Association, Vol.115(4), pp.405-420
DOI: 10.1016/j.jnma.2023.06.002
PMID: 37330393
PMCID: PMC10526693
NLM abbreviation: J Natl Med Assoc
ISSN: 0027-9684
eISSN: 1943-4693
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100000050, name: National Heart Lung and Blood Institute
Language: English
Electronic publication date: 06/15/2023
Date published: 08/2023
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446061702771

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5 Times Cited - Web of Science