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Table 4 Bivariate analysis comparing EHR-utilizing initiatives with non-EHR initiatives

From: Impact of hospital and health system initiatives to address Social Determinants of Health (SDOH) in the United States: a scoping review of the peer-reviewed literature

 

Leveraged EHR technologies for collecting self-reported SDOH

p-value

Yes

n (%)

Not described

n (%)

ADHERENCE TO EVIDENCE-BASED IMPLEMENTATION PRACTICES

 Gathered data based on needs of care teams

  Yes

4 (40.00%)

1 (3.23%)

0.002*

  Not described

6 (60.00%)

30 (96.77%)

 Used standardized data collection methods

  Yes (Used standardized tool)

8 (80.00%)

20 (64.52%)

0.173

  Yes (Used self-developed tool)

0 (0%)

8 (25.81%)

  Not described

2 (20.00%)

3 (9.68%)

 Used list or guide of community resources to facilitate referrals

  Yes

9 (90.00%)

14 (45.16%)

0.013*

  Not described

1 (10.00%)

17 (54.84%)

 Had referral protocols

  Yes

7 (70.00%)

8 (25.81%)

0.012*

  Not described

3 (30.00%)

23 (74.19%)

 Patient referral practices used

  Yes

8 (80.00%)

12 (38.71%)

0.023*

  Not described/ Not clear

2 (20.00%)

19 (61.29%)

 Tracked referrals

  Yes

6 (60.00%)

7 (22.58%)

0.027*

  No/Not described

4 (40.00%)

24 (77.42%)

PERFORMANCE ON OUTCOME MEASURES

 Assessed process outcomes

  Yes

5 (50.00%)

18 (58.06%)

0.655

  Not described

5 (50.00%)

13 (41.94%)

 Results on process outcomes (n = 23)

  Improved

5 (100%)

15 (83.33%)

0.328

  Not improved**

0 (0%)

3 (16.67%)

 Assessed clinical/health outcomes

  Yes

8 (80.00%)

23 (74.19%)

0.710

  Not described

2 (20.00%)

8 (25.81%)

 Results on clinical/health outcomes (n = 31)

  Improved

7 (87.50%)

14 (60.87%)

0.165

  Not improved**

1 (12.50%)

9 (39.13%)

 Assessed social outcomes

  Yes

1 (10.00%)

11 (35.48%)

0.124

  No

9 (90.00%)

20 (64.52%)

 Impact on social outcomes (n = 12)

  Improved

1 (100%)

9 (81.82%)

0.640

  Not improved**

0 (0%)

2 (18.18%)

  1. * Indicates statistical significance at the 0.05 level (p < 0.05)
  2. **The “not improved” category under impact on outcome measures represents an aggregate of “no change”, “mixed results” and “worsened” results summarized in Table 4