Alderwick H, Gottlieb LM. Meanings and Misunderstandings: A Social Determinants of Health Lexicon for Health Care Systems. Milbank Q. 2019;97(2):407–19. https://doi.org/10.1111/1468-0009.12390.

Article  PubMed  PubMed Central  Google Scholar 

Rao M, Maciejewski ML, Greene L, Smith V, Slightam C, Chaudhary C, et al. Prevalence of 19 social risks in a national survey of Veterans Health Administration patients. J Gen Intern Med. in press.

Hood CM, Gennuso KP, Swain GR, Catlin BB. County Health Rankings. American Journal of Preventive Medicine. 2016;50(2):129–35. https://doi.org/10.1016/j.amepre.2015.08.024.

Article  PubMed  Google Scholar 

Knighton AJ, Stephenson B, Savitz LA. Measuring the Effect of Social Determinants on Patient Outcomes: A Systematic Literature Review. J Health Care Poor Underserved. 2018;29(1):81–106. https://doi.org/10.1353/hpu.2018.0009.

Article  PubMed  Google Scholar 

Braveman P, Gottlieb L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 2014;129 Suppl 2(Suppl 2):19–31. https://doi.org/10.1177/00333549141291S206.

Krause TM, Schaefer C, Highfield L. The association of social determinants of health with health outcomes. Am J Manag Care. 2021;27(3):e89–96. https://doi.org/10.37765/ajmc.2021.88603.

Article  PubMed  Google Scholar 

Gottlieb L, DeSilvey SC, Fichtenberg C, Bernheim S, Peltz A. Developing National Social Care Standards. Health Affairs Forefront [Internet]. 2023 Feb 22 [cited 2023 Mar 17]. Available from: https://www.healthaffairs.org/content/forefront/developing-national-social-care-standards?utm_medium=email&utm_source=hasu&utm_campaign=forefront&utm_content=HASU+2+26+2023&vgo_ee=V33RkAKFdO1k1XAEQBVOdw%3D%3D.

National Academies of Sciences, Engineering, and Medicine. Integrating social care into the delivery of health care: Moving upstream to improve the nation’s health. Washington, DC: The National Academies Press; 2019.

Byhoff E, Kangovi S, Berkowitz SA, DeCamp M, Dzeng E, Earnest M, et al. A Society of General Internal Medicine Position Statement on the Internists’ Role in Social Determinants of Health. J Gen Intern Med. 2020;35(9):2721–7. https://doi.org/10.1007/s11606-020-05934-8.

Article  PubMed  PubMed Central  Google Scholar 

Daniel H, Bornstein SS, Kane GC, Carney JK, Gantzer HE, Henry TL, et al. Addressing Social Determinants to Improve Patient Care and Promote Health Equity: An American College of Physicians Position Paper. Ann Intern Med. 2018;168(8):577–8. https://doi.org/10.7326/M17-2441.

Article  PubMed  Google Scholar 

Havranek EP, Mujahid MS, Barr DA, Blair IV, Cohen MS, Cruz-Flores S, et al. Social Determinants of Risk and Outcomes for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2015;132(9):873–98. https://doi.org/10.1161/CIR.0000000000000228.

Article  PubMed  Google Scholar 

The Joint Commission. National Patient Safety Goal to Improve Health Care Equity [Internet]. The Joint Commission; 2022 Dec [cited 2025 Aug 13]. (R3 Report, Issue 38). Available from: https://digitalassets.jointcommission.org/api/public/content/e57b92c0e6854a03b27302663b5c1084?v=cec3044d&_gl=1*18c58th*_ga*Lg..*_ga_K31T0BHP4T*czE3NTUxMjE2MDYkbzEkZzAkdDE3NTUxMjE2MDYkajYwJGwwJGgw.

Blosnich JR, Dichter ME, Gurewich D, Montgomery AE, Kressin NR, Lee R, et al. Health Services Research and Social Determinants of Health in the Nation’s Largest Integrated Health Care System: Steps and Leaps in the Veterans Health Administration. Mil Med. 2020;185(9–10):e1353–6. https://doi.org/10.1093/milmed/usaa067.

Article  PubMed  Google Scholar 

Cohen AJ, Dosa DM, Rudolph JL, Halladay CW, Heisler M, Thomas KS. Risk factors for Veteran food insecurity: findings from a National US Department of Veterans Affairs Food Insecurity Screener. Public Health Nutr. 2022;25(4):819–28. https://doi.org/10.1017/S1368980021004584.

Article  PubMed  Google Scholar 

Montgomery AE, Fargo JD, Byrne TH, Kane VR, Culhane DP. Universal screening for homelessness and risk for homelessness in the Veterans Health Administration. Am J Public Health. 2013;103 Suppl 2(Suppl 2):S210–211. https://doi.org/10.2105/AJPH.2013.301398.

Miller CJ, Stolzmann K, Dichter ME, Adjognon OL, Brady JE, Portnoy GA, et al. Intimate Partner Violence Screening for Women in the Veterans Health Administration: Temporal Trends from the Early Years of Implementation 2014–2020. J Aggress Maltreat Trauma. 2022;a:1–19. https://doi.org/10.1080/10926771.2021.2019160.

Russell LE, Cohen AJ, Chrzas S, Halladay CW, Kennedy MA, Mitchell K, et al. Implementing a Social Needs Screening and Referral Program Among Veterans: Assessing Circumstances & Offering Resources for Needs (ACORN). J Gen Intern Med. 2023;38(13):2906–13. https://doi.org/10.1007/s11606-023-08181-9.

Article  PubMed  PubMed Central  Google Scholar 

Press VG, Tang JW. Social Risk Screening Is Increasing, but Is Screening Enough? JAMA Netw Open. 2025;8(1):e2453128. https://doi.org/10.1001/jamanetworkopen.2024.53128.

Article  PubMed  Google Scholar 

Potharaju K, Gottlieb LM, Pantell M, Jones DH. Do new quality measures for social risk screening ‘measure up’? Current Opinion in Pediatrics. 2025;37(1):7–12. https://doi.org/10.1097/MOP.0000000000001414.

Article  PubMed  Google Scholar 

Yan AF, Chen Z, Wang Y, Campbell JA, Xue QL, Williams MY, et al. Effectiveness of Social Needs Screening and Interventions in Clinical Settings on Utilization, Cost, and Clinical Outcomes: A Systematic Review. Health Equity. 2022;6(1):454–75. https://doi.org/10.1089/heq.2022.0010.

Article  PubMed  PubMed Central  Google Scholar 

Palakshappa D, Brown CL, Skelton JA, Goodpasture M, Albertini LW, Montez K. Social Risk Screening and Interventions in Healthcare Settings: Opportunities, Challenges, and Future Research. Acad Pediatr. 2022;22(8):1278–80. https://doi.org/10.1016/j.acap.2022.08.001.

Article  PubMed  PubMed Central  Google Scholar 

Eder M, Henninger M, Durbin S, Iacocca MO, Martin A, Gottlieb LM, et al. Screening and Interventions for Social Risk Factors: Technical Brief to Support the US Preventive Services Task Force. JAMA. 2021;326(14):1416. https://doi.org/10.1001/jama.2021.12825.

Article  PubMed  PubMed Central  Google Scholar 

Byhoff E, De Marchis EH, Hessler D, Fichtenberg C, Adler N, Cohen AJ, et al. Part II: A Qualitative Study of Social Risk Screening Acceptability in Patients and Caregivers. Am J Prev Med. 2019 Dec;57(6 Suppl 1):S38–46. https://doi.org/10.1016/j.amepre.2019.07.016.

Article  PubMed  PubMed Central  Google Scholar 

De Marchis EH, Hessler D, Fichtenberg C, Adler N, Byhoff E, Cohen AJ, et al. Part I: A Quantitative Study of Social Risk Screening Acceptability in Patients and Caregivers. Am J Prev Med. 2019;57(6 Suppl 1):S25–37. https://doi.org/10.1016/j.amepre.2019.07.010.

Article  PubMed  PubMed Central  Google Scholar 

Drake C, Batchelder H, Lian T, Cannady M, Weinberger M, Eisenson H, et al. Implementation of Social Needs Screening in Primary Care: A Qualitative Study Using the Health Equity Implementation Framework [Internet]. 2021 [cited 2026 Feb 11]. Available from: https://www.researchsquare.com/article/rs-455846/v1https://doi.org/10.21203/rs.3.rs-455846/v1.

LeLaurin JH, De La Cruz J, Theis RP, Thompson LA, Lee JH, Shenkman EA, et al. Parent Perspectives on Electronic Health Record-Based Social Needs Screening and Documentation: A Qualitative Study. Acad Pediatr. 2023;23(7):1446–53. https://doi.org/10.1016/j.acap.2023.06.011.

Article  PubMed  PubMed Central  Google Scholar 

Griesemer I, Palmer JA, MacLaren RZ, Harvey KL, Li M, Garikipati A, et al. Rural Veterans’ Experiences with Social Risk Factors: Impacts, Challenges, and Care System Recommendations. J Gen Intern Med. 2024;39(5). https://doi.org/10.1007/s11606-023-08530-8.

Brown EM, Loomba V, De Marchis E, Aceves B, Molina M, Gottlieb LM. Patient and Patient Caregiver Perspectives on Social Screening: A Review of the Literature. J Am Board Fam Med. 2023;36(1):66–78. https://doi.org/10.3122/jabfm.2022.220211R1.

Article  PubMed  Google Scholar 

Long KA, Paredes Molina AA, Blakey AO, Oliveira DR, Barahona Paz K, Mateo CM, et al. Perspectives on Health-Related Social Needs Screening in Primary Care Among Black and Latine Patients. JAMA Netw Open. 2025;8(8):e2529538. https://doi.org/10.1001/jamanetworkopen.2025.29538.

Article  PubMed  PubMed Central  Google Scholar 

Rogers AJ, Hamity C, Sharp AL, Jackson AH, Schickedanz AB. Patients’ Attitudes and Perceptions Regarding Social Needs Screening and Navigation: Multi-site Survey in a Large Integrated Health System. J Gen Intern Med. 2020;35(5):1389–95. https://doi.org/10.1007/s11606-019-05588-1.

Article  PubMed  PubMed Central  Google Scholar 

Trochez RJ, Sharma S, Stolldorf DP, Mixon AS, Novak LL, Rajmane A, et al. Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives. Popul Health Manag. 2023;26(3):157–67. https://doi.org/10.1089/pop.2022.0279.

Article  PubMed  PubMed Central  Google Scholar 

Broaddus-Shea ET, Jimenez-Zambrano A, Holliman BD, Connelly L, Huebschmann AG, Nederveld A. Unpacking patient perspectives on social needs screening: A mixed methods study in western Colorado primary care practices. Patient Educ Couns. 2024;125:108298. https://doi.org/10.1016/j.pec.2024.108298.

Article  PubMed  Google Scholar 

Garg A, Boynton-Jarrett R, Dworkin PH. Avoiding the Unintended Consequences of Screening for Social Determinants of Health. JAMA. 2016;316(8):813–4. https://doi.org/10.1001/jama.2016.9282.

Article  PubMed  Google Scholar 

Samuels-Kalow M, Molina M, Ciccolo G, Curt A, Cleveland Manchanda E, De Paz N, et al. Patient and Community Organization Perspectives on Accessing Social Resources from the Emergency Department: A Qualitative Study. WestJEM. 2020;21(4). https://doi.org/10.5811/westjem.2020.3.45932.

Takada S, Shen Z, Bourgois P, Duru OK, Gelberg L, Han M, et al. A Qualitative Study of Perceptions and Preferences Regarding Social and Behavioral Risk Screening Among Primary Care Patients. J Gen Intern Med. 2023;38(14):3171–9. https://doi.org/10.1007/s11606-023-08344-8.