Objectives: This study evaluated how often patients who reported social risk factors requested assistance with these risks in an integrated health system. Methods: We examined how self-reports of risk related to stated desire for help with that risk reported during social risk screenings at Kaiser Permanente Northwest (KPNW). We examined how patient characteristics were associated with desire for help with each social risk domain using logistic regression. Results: Approximately 24% (n = 7,807) of the 32,865 KPNW members aged ≥ 18 years who were screened between June 1, 2017, and December 31, 2019, reported at least 1 social risk. More than half of patients who reported a risk were risk/help concordant (i.e., they also wanted help with that risk). The highest concordance (81.7%) was observed among patients reporting medical financial hardship. Several demographic, health, and other factors were associated with concordance across domains. Conclusions: Patients do not request assistance for all reported social needs. Our findings could help shape future work examining patients' reasons for not accepting assistance and developing interventions to help patients with high social risk more effectively.

中文翻译：

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患者对接受自我报告的社会风险援助的兴趣

目标：本研究评估了报告社会风险因素的患者在综合卫生系统中请求帮助应对这些风险的频率。方法：我们检查了在 Kaiser Permanente Northwest (KPNW) 的社会风险筛查期间，自我报告的风险如何与该风险的明确寻求帮助相关。我们使用逻辑回归研究了患者特征如何与每个社会风险领域的帮助愿望相关联。结果：在 2017 年 6 月 1 日至 2019 年 12 月 31 日期间接受筛查的 32,865 名年龄≥18 岁的 KPNW 成员中，约有 24% (n = 7,807) 报告至少有 1 种社会风险。超过一半的报告风险的患者是风险/帮助一致的（即，他们也需要有关该风险的帮助）。在报告医疗经济困难的患者中观察到最高的一致性 (81.7%)。几个人口统计学、健康和其他因素与跨领域的一致性有关。结论：患者不会为所有报告的社会需求请求帮助。我们的研究结果可以帮助塑造未来的工作，检查患者不接受援助的原因，并制定干预措施以更有效地帮助具有高社会风险的患者。