A recent systematic review reveals that social needs programs aimed at smaller, targeted populations significantly enhance patient screening and assistance in primary care. The findings, published online on November 11, 2025, in the Annals of Internal Medicine, highlight the effectiveness of these focused interventions.
Led by Eva Chang, Ph.D., M.P.H., from the Advocate Aurora Research Institute in Milwaukee, the research analyzed characteristics that contribute to the successful implementation of social needs screening and intervention programs. The review encompassed 23 studies, with 17 reporting specific outcomes related to patient screening. Of these, 11 studies focused on populations characterized by particular health conditions, while the remaining six included general populations.
The researchers discovered that programs targeting less than 500 patients with specific conditions or health care utilization were associated with a higher percentage of patients screened. Notably, the screening outcomes varied widely, with rates of reported social needs ranging from 10.1% to 100% among those screened.
Additionally, the review indicated that among programs aimed at smaller populations, the percentage of patients receiving assistance or resources was notably higher. This suggests that more tailored approaches could lead to better support for individuals facing social needs.
While clinical outcomes and health care utilization metrics were reported in only a few studies, the findings were mixed. The authors emphasized the importance of health care systems sharing best practices and conducting systematic evaluations. They believe these steps are essential for defining and achieving successful implementations of social needs screening and intervention programs.
As the health care landscape continues to evolve, this review underscores the potential for targeted programs to enhance patient care by addressing social determinants effectively.
For further details, see the study by Eva Chang et al. in the Annals of Internal Medicine, DOI: 10.7326/annals-25-00308, and the commentary by Amy Shaheen, DOI: 10.7326/annals-25-03979.
