A recent systematic review highlights the effectiveness of social needs screening programs that concentrate on smaller, specific populations. Published online on November 11, 2025, in the Annals of Internal Medicine, the review indicates that such targeted approaches are more successful in screening and assisting patients with social needs.
Led by Eva Chang, Ph.D., M.P.H., from the Advocate Aurora Research Institute in Milwaukee, the study examined various characteristics that contribute to the successful implementation of social needs screening and intervention programs within primary care settings. The review analyzed data from 23 studies, with 17 providing insights into screening outcomes. Among these, 11 studies focused on patients with specific medical conditions or healthcare usage, while six targeted the general population.
The research revealed that programs with the highest screening rates typically served fewer than 500 patients who presented a particular health condition or healthcare need. These programs also benefited from support provided by additional staff or volunteers. The findings showed that social needs were reported in a range from 10.1% to 100% of patients screened.
Assistance or resources were reported in 11 of the reviewed studies. Notably, programs that specifically targeted smaller populations had a higher percentage of patients receiving this support. While clinical and healthcare usage outcomes were less frequently reported, the findings were mixed, indicating the need for further research in this area.
The authors of the review emphasized the importance of health care systems sharing best practices. They advocated for systematic evaluations to better define and improve the implementation of social needs screening and intervention programs. As healthcare priorities evolve, understanding how to effectively address social determinants of health becomes increasingly crucial.
More detailed findings from the review can be found in the works of Eva Chang et al. in the Annals of Internal Medicine. This comprehensive study underscores the potential for targeted social needs programs to significantly enhance patient care and support within primary healthcare frameworks.
