Identifying and addressing social determinants of health to improve patient-centered care

Neil Kalsi, Denai Gordon, Jenenne Geske

Research output: Contribution to journalArticlepeer-review


The purpose of this clinical improvement project was to instill a streamlined process of identifying social determinants of health (SDOH) in our clinic's diverse patient population and provide resources that address these barriers to health and well-being. At each clinic visit, patients self-identified SDOH through an easy-to-use Social Assessment Form. Using an online database, Community Relay (CR), providers had access to location-based community resources. In addition to accomplishing the above-mentioned goals, we were left with a more well-rounded understanding of our patients. Unique struggles were identified and barriers to care were revealed, allowing for more patient-centered medical care.

Original languageEnglish (US)
Article numbere73
JournalJournal of Clinical and Translational Science
Issue number1
StatePublished - Apr 5 2024


  • Primary care
  • barriers to care
  • patient-centered
  • self-reported
  • social determinants of health

ASJC Scopus subject areas

  • General Medicine


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