• Anna Louise Steeves-Reece, Melinda Marie Davis, Hiebert LarsonJeanJFrom the Oregon Health & Science University-Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portl, Zoe Major-McDowall, Anne Elizabeth King, Christina Nicolaidis, Bruce Goldberg, Dawn Michele Richardson, and Stephan Lindner.
• From the Oregon Health & Science University-Portland State University School of Public Health, Portland, OR (ALS, MMD, DMR, SL); Oregon Rural Practice-Based Research Network, School of Medicine, Oregon Health & Science University, Portland, OR (ALS, JHL, ZM, AEK, BG, MMD); Department of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (MMD); School of Social Work, Portland State University, Portland, OR (CN); Division of General Internal Medicine and Geriatrics, School of Medicine, Oregon Health & Science University, Portland, OR (CN); Center for Health Systems Effectiveness, Department of Emergency Medicine, School of Medicine, Oregon Health & Science University, Portland, OR (SL). steevesreecea@ochin.org.
• J Am Board Fam Med. 2023 Apr 3; 36 (2): 229239229-239.

BackgroundSocial needs screening and referral interventions are increasingly common in health care settings. Although remote screening offers a potentially more practical alternative to traditional in-person screening, there is concern that screening patients remotely could adversely affect patient engagement, including interest in accepting social needs navigation.MethodsWe conducted a cross-sectional study using a multivariable logistic regression analysis and data from the Accountable Health Communities (AHC) model in Oregon. Participants were Medicare and Medicaid beneficiaries in the AHC model from October 2018 through December 2020. The outcome variable was patients' willingness to accept social needs navigation assistance. We included an interaction term (total number of social needs + screening mode) to test whether in-person versus remote screening was an effect modifier.ResultsThe study included participants who screened positive for ≥1 social need(s); 43% were screened in person and 57% remotely. Overall, 71% of participants were willing to accept help with social needs. Neither screening mode nor interaction term were significantly associated with willingness to accept navigation assistance.ConclusionsAmong patients presenting with similar numbers of social needs, results indicate that type of screening mode may not adversely affect patients' willingness to accept health care-based navigation for social needs.© Copyright by the American Board of Family Medicine.

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