• Inga Gruß, Alexandra Varga, Neon Brooks, Rachel Gold, and Matthew P Banegas.
• From the Kaiser Permanente Center for Health Research, Portland, OR (IG, AV, NB, RG, MPB). inga.gruss@kpchr.org.
• J Am Board Fam Med. 2021 Sep 1; 34 (5): 914-924.

ObjectivesThis study evaluated how often patients who reported social risk factors requested assistance with these risks in an integrated health system.MethodsWe examined how self-reports of risk related to stated desire for help with that risk reported during social risk screenings at Kaiser Permanente Northwest (KPNW). We examined how patient characteristics were associated with desire for help with each social risk domain using logistic regression.ResultsApproximately 24% (n = 7,807) of the 32,865 KPNW members aged ≥ 18 years who were screened between June 1, 2017, and December 31, 2019, reported at least 1 social risk. More than half of patients who reported a risk were risk/help concordant (i.e., they also wanted help with that risk). The highest concordance (81.7%) was observed among patients reporting medical financial hardship. Several demographic, health, and other factors were associated with concordance across domains.ConclusionsPatients do not request assistance for all reported social needs. Our findings could help shape future work examining patients' reasons for not accepting assistance and developing interventions to help patients with high social risk more effectively.© Copyright 2021 by the American Board of Family Medicine.

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