Clinical trial NCT03661359: Social Determinants of Health Screening and Interventions
Official title: Patient Perceptions of Care: The Effects of Social Determinants of Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Social Determinants of Health
Patient Satisfaction
Quality of Life
Lead sponsor: University of Toledo
Sponsor class: OTHER
First posted: 2018-09-07
Enrollment: 35
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Each patient who consents will be given the community resource interventions which apply to them based on the results of the Social Determinants of Health Screening Tool.
Primary purpose: OTHER

Brief summary: The primary objective of this study is to connect patients with community resources to improve social determinants of health. Secondary objectives are improving patient satisfaction within the trauma and general surgery service, enhancement of physician-patient communication, betterment of surgery department Hospital Consumer Assessment of Healthcare Providers and Systems scores, and increased understanding of correlations between patient satisfaction and social determinants of health.

The investigators hypothesize that (1) directed screening and intervention can have a positive effect for patients and hospitals, (2) directed patient advocacy will have an effect on patients' perception of care, (2) social determinants of health will have an effect on patients' perception of care, and (4) traumatic injury and acute surgery will have an effect on patients' perception of care.

Detailed description: The investigators will be conducting this study as a prospective, non-randomized quality improvement study that will look at patients 18 years of age and older who are admitted under the trauma and general surgery specialties. Patients will be identified through admission to the trauma or general surgery service or referred to surgery services.

Eligible patients will be identified and approached by the study team. Once the informed consent is completed, patients will be given a Social Determinants of Health Screening Tool, an Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Tool, and an short form health survey (SF-12) Quality of Life Questionnaire. Feedback from the Hospital Consumer Assessment of Healthcare Providers and Systems results will be given immediately to the relevant teams (nurses, doctors, etc.) to address the patient's concerns. Prior to discharge, the patients will also be given referrals to designated community resources. On day 15 (+/- 7 days) after discharge, the patients will receive a follow up phone call where they will be asked if they have utilized the Social Determinants of Health Referrals. Participants will also be given a second Hospital Consumer Assessment of Healthcare Providers and Systems Feedback Survey at this time. On day 30 (+/- 7 days) after discharge, the patients will receive a follow up phone call where the participants will be asked if they utilized the Social Determinants of Health Referrals. Participants will also be given a second short form health survey (SF-12) Quality of Life Survey at this time.

Eligibility criteria: Inclusion Criteria:

* 18 years of age or older
* Admitted to the trauma or general surgery services
* Live within Lucas County (for county referrals)
* Patient or legally authorized representative agrees to participate and is willing to sign informed consent

Exclusion Criteria:

* Anyone less than 18 years old
* Any patient or legally authorized representative unwilling to sign informed consent
* Anyone who lives outside of Lucas County or expresses unwillingness to use referral services

Primary outcomes:
measure: Correlation Co-efficient Between Patient Satisfaction Assessed Using HCAHPS and the Domains at Risk
timeFrame: Within 15 days of discharge
measure: Patients Who Filled Out Community Service Questionnaires
timeFrame: Within 30 days of discharge
measure: Correlation Co-efficient Between Physical Quality of Life and Mental Quality of Life
timeFrame: within 30 days of discharge
Secondary outcomes:
measure: Communication Between Patient and Health Care Givers Questionnaire
timeFrame: Within 15 days of discharge
measure: Baseline HCAHPS Data
timeFrame: Within 15 days of discharge
Other outcomes:
Locations:
city: Toledo
country: United States
facility: University of Toledo Medical Center
state: Ohio
Study officials:
affiliation: University of Toledo
name: Heather Klepacz, MD
role: PRINCIPAL_INVESTIGATOR
References: