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AUG 4, 2026 · JOURNAL ARTICLE

Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System

JAMA Network Open

Large retrospective cohort study (1.9M adults) across 92 hospitals with rigorous adjusted analyses identifying screening disparities and HRSN burden by race, ethnicity, and insurance; provides clear epidemiological evidence but is observational and does not test an intervention.

Strong EvidenceVanessa Madden Jaime Dircksen B.P. Patel

Reported

Screening completion rate60.0%

HRSN positivity (any)29.5%

Black patients screening odds rat…0.85

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