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chirocare.com

fulcrum health facilitates connections to physical medicine—between providers, health plans, employers, and patients.

hcup-us.ahrq.gov

the healthcare cost and utilization project is a family of healthcare databases and related software tools and products from the united states that is developed through a federal-state-industry partnership and sponsored by the agency for healthcare research and quality.

aaos.org

AAOS Membership helps you build your orthopaedic knowledge with access to thousands of Academy instructional courses, webinars, exam preparation, and trusted, peer-reviewed publications.

seer.cancer.gov

Read about coverage of publications that have analyzed SEER data. View upcoming SEER events. Access SRP's Twitter feed or Toward Precision Cancer Surveillance blog.

boneandjoint.org.uk

the british editorial society of bone & joint surgery

backpain-guide.com

more about the book more about the author abc – peter jennings […]

jabfm.org

Background: In 2020, the state of California started financially incentivizing primary care practices to screen for adverse childhood events (ACEs). In its current Medicaid 1115 waiver, the state also has encouraged health care teams to screen for social risks (SR) − (eg, food, housing, and transportation insecurity). In this qualitative study, we explore community health center (CHC) staff and patient perspectives about opportunities and barriers to integrating adult screening for ACEs and SR. Methods: We identified eligible California CHCs through Medicaid claims data on ACEs screening and/or participation in ACEs or SR-related learning collaboratives. Staff and/or patients in 12 clinics participated in semistructured interviews exploring opportunities and barriers to integrated ACEs and SR screening. Interviews were analyzed using a rapid qualitative data analysis approach. Results: Thirty-nine clinic staff (including clinic leaders, allied health professionals, licensed clinicians) and 10 patients participated. While staff and patients often conceptually endorsed integrated ACEs and SR screening, they identified substantial practical barriers to integration. Barriers primarily related to different screening frequencies and workflows. Other barriers reflected broader primary care time constraints and workforce shortages. Participants shared multiple recommendations to improve screening programs, including strategies for combining ACEs and SR screening. Discussion: California CHC staff and patients described several conceptual benefits of integrating ACEs and SR screening, but longstanding primary care challenges make it complicated to integrate these activities. Standardizing the integration of ACEs and SR screening will require institutional and structural shifts to overcome common barriers to providing whole person care.