Social needs screening and referral program at a large US public hospital system, 2017

Carolyn Berry, Margaret Paul, Rachel Massar, Roopa Kalyanaraman Marcello, Marian Krauskopf

Research output: Contribution to journalArticlepeer-review


Many health care providers and systems are developing and implementing processes to screen patients for social determinants of health and to refer patients to appropriate nonclinical and community-based resources. The largest public health care system in the United States, New York City Health + Hospitals, piloted such a program in 2017. A qualitative evaluation yielded insights into the implementation and feasibility of such screening and referral programs in health care systems serving low-income, minority, immigrant, and underserved populations.

Original languageEnglish (US)
Pages (from-to)S211-S214
JournalAmerican journal of public health
Issue numberS2
StatePublished - Jul 2020


  • Emigrants and Immigrants
  • Hospitals, Public
  • Humans
  • Mass Screening/organization & administration
  • Minority Groups
  • Needs Assessment/organization & administration
  • New York City
  • Outpatient Clinics, Hospital
  • Poverty
  • Referral and Consultation/organization & administration
  • Social Determinants of Health
  • Vulnerable Populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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