{"id":"https://openalex.org/W4387962070","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.79","title":"Increasing the assessment rates of the social determinants of health (SDoH) in patients with newly diagnosed breast cancer at a safety-net health system.","display_name":"Increasing the assessment rates of the social determinants of health (SDoH) in patients with newly diagnosed breast cancer at a safety-net health system.","publication_year":2023,"publication_date":"2023-10-26","ids":{"openalex":"https://openalex.org/W4387962070","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.79"},"language":"en","primary_location":{"id":"doi:10.1200/op.2023.19.11_suppl.79","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.79","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1200/op.2023.19.11_suppl.79","pdf_url":null,"source":{"id":"https://openalex.org/S4210202425","display_name":"JCO Oncology Practice","issn_l":"2688-1527","issn":["2688-1527","2688-1535"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JCO Oncology Practice","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090787137","display_name":"Mary P Hodges","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary P Hodges","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081620538","display_name":"Helen Ruiz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Helen Ruiz","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009740735","display_name":"Julie Dreadin-Pulliam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie Dreadin-Pulliam","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077809228","display_name":"Umber Dickerson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Umber Dickerson","raw_affiliation_strings":["Parkland Healh, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Healh, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108873165","display_name":"Iman Anwar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Iman Anwar","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093129732","display_name":"Tennesse Spannagel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tennesse Spannagel","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074193847","display_name":"Ashraf Mahmoud Mohamed","orcid":"https://orcid.org/0000-0001-9785-8035","observed_orcids":["https://orcid.org/0000-0001-9785-8035"]},"institutions":[{"id":"https://openalex.org/I2800124591","display_name":"Texas Oncology","ror":"https://ror.org/02ketev28","country_code":"US","type":"facility","lineage":["https://openalex.org/I2800124591"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashraf Mohamed","raw_affiliation_strings":["Texas Oncology, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Texas Oncology, Dallas, TX","institution_ids":["https://openalex.org/I2800124591"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086519120","display_name":"Andrea R. Semlow","orcid":"https://orcid.org/0000-0001-8148-2045","observed_orcids":["https://orcid.org/0000-0001-8148-2045"]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrea R. Semlow","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Robyn Cobb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1286960001","display_name":"Parkland Health & Hospital System","ror":"https://ror.org/04rt7ps04","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286960001"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robyn Cobb","raw_affiliation_strings":["Parkland Health, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Parkland Health, Dallas, TX","institution_ids":["https://openalex.org/I1286960001"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008905848","display_name":"Navid Sadeghi","orcid":"https://orcid.org/0000-0002-7786-8786","observed_orcids":["https://orcid.org/0000-0002-7786-8786"]},"institutions":[{"id":"https://openalex.org/I867280407","display_name":"The University of Texas Southwestern Medical Center","ror":"https://ror.org/05byvp690","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I867280407"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Navid Sadeghi","raw_affiliation_strings":["UT Southwestern Medical Center, Dallas, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UT Southwestern Medical Center, Dallas, TX","institution_ids":["https://openalex.org/I867280407"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"11_suppl","first_page":"79","last_page":"79"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.3522999882698059,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.3522999882698059,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.15729999542236328,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.120899997651577,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.9990000128746033},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9350000023841858},{"id":"https://openalex.org/keywords/newly-diagnosed-cancer-patients","display_name":"newly diagnosed cancer","score":0.8029999732971191},{"id":"https://openalex.org/keywords/safety-net-health-system","display_name":"safety-net health system","score":0.8600000143051147},{"id":"https://openalex.org/keywords/oncology-nurse-navigators","display_name":"oncology nurse navigators","score":0.7279999852180481},{"id":"https://openalex.org/keywords/patient-navigation","display_name":"patient navigation","score":0.42100000381469727},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.45100000500679016},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.9589999914169312},{"id":"https://openalex.org/keywords/workflow-improvement","display_name":"workflow improvement","score":0.42100000381469727},{"id":"https://openalex.org/keywords/patient-panel-size","display_name":"patient panel size","score":0.5299999713897705},{"id":"https://openalex.org/keywords/interview-training","display_name":"interview training","score":0.6179999709129333},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.414000004529953},{"id":"https://openalex.org/keywords/racial-and-ethnic-minorities","display_name":"racial and ethnic minorities","score":0.6420000195503235},{"id":"https://openalex.org/keywords/social-support-services","display_name":"social support services","score":0.39399999380111694},{"id":"https://openalex.org/keywords/texas-medical-center","display_name":"Texas Medical Center","score":0.3409999907016754},{"id":"https://openalex.org/keywords/houston","display_name":"Houston","score":0.5130000114440918}],"concepts":[{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.65643310546875},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.6013674736022949},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5266708731651306},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5095522403717041},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4474506378173828},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3398702144622803},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2781798243522644}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/op.2023.19.11_suppl.79","doi":"https://doi.org/10.1200/op.2023.19.11_suppl.79","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1200/op.2023.19.11_suppl.79","pdf_url":null,"source":{"id":"https://openalex.org/S4210202425","display_name":"JCO Oncology Practice","issn_l":"2688-1527","issn":["2688-1527","2688-1535"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JCO Oncology Practice","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4414893371","https://openalex.org/W4402860650","https://openalex.org/W3216806459","https://openalex.org/W4282947406","https://openalex.org/W4414893470","https://openalex.org/W4396588259","https://openalex.org/W3030242775","https://openalex.org/W7204123600","https://openalex.org/W4416833364","https://openalex.org/W7130673895"],"abstract_inverted_index":{"79":[0],"Background:":[1],"SDoH":[2,15,36,60,74,199,230,250,263,326,352,402,416],"are":[3,137],"non-medical":[4],"factors":[5],"that":[6],"can":[7],"influence":[8],"health":[9,27,43,190],"outcomes.":[10],"The":[11,222],"negative":[12],"impact":[13],"of":[14,35,59,93,120,144,149,224,294,344,358,414],"on":[16,324,370],"vulnerable":[17],"populations":[18],"such":[19,123],"as":[20,124],"racial":[21],"and":[22,32,45,101,146,162,175,187,193,312,365,397],"ethnic":[23],"minorities":[24],"contributes":[25],"to":[26,71,132,141,215,228,240,278,290,341,360,376,381,393,399,404,412],"disparities;":[28],"therefore,":[29],"consistent,":[30],"accurate,":[31],"comprehensive":[33],"assessment":[34,75,148,200,231,251,264,288,338,353,417],"is":[37,49,61,91,102],"a":[38,117,142,177,283,291,356],"first":[39],"step":[40],"towards":[41],"promoting":[42],"equity":[44],"eliminating":[46],"disparities.":[47],"This":[48],"particularly":[50],"important":[51],"in":[52,98,204,270,274,286],"safety-net":[53,96],"systems":[54,97],"where":[55],"the":[56,73,78,94,99,105,157,165,171,184,205,225,236,244,247,249,266,275,287,298,316,329,333,337,351,371,383,401,407,415],"patients\u2019":[57],"burden":[58],"disproportionately":[62],"high.":[63],"In":[64,243,315,328,389],"this":[65],"quality":[66],"improvement":[67],"project,":[68],"we":[69,281,374,391],"aimed":[70],"increase":[72,229,273],"rate":[76,252,277,289,339,354],"from":[77,235,355],"initial":[79,237,272],"visit":[80,239],"for":[81,253,418,422],"newly":[82,254],"diagnosed":[83,255],"breast":[84,256,305],"cancer":[85,257,306,428],"patients.":[86],"Methods:":[87],"Parkland":[88],"Health":[89],"(PH)":[90],"one":[92],"largest":[95],"US":[100],"affiliated":[103],"with":[104],"UT":[106],"Southwestern":[107],"Harold":[108],"C.":[109],"Simmons":[110],"Comprehensive":[111],"Cancer":[112],"Center":[113],"(NCI-CCC).":[114],"PH":[115],"provides":[116],"wide":[118],"range":[119],"support":[121],"services":[122,136],"transportation,":[125],"childcare,":[126],"medication":[127],"assistance,":[128],"nutrition":[129],"education,":[130],"etc.,":[131],"patients,":[133,420],"however,":[134,280],"these":[135],"likely":[138],"underutilized":[139],"due":[140],"lack":[143],"consistent":[145],"accurate":[147],"patient":[150,300,384,424],"needs.":[151],"A":[152],"multidisciplinary":[153],"team,":[154],"supported":[155],"by":[156,164,362],"ASCO":[158],"Quality":[159],"Training":[160],"Program":[161],"sponsored":[163],"Susan":[166],"G.":[167],"Komen":[168],"Foundation,":[169],"mapped":[170],"relevant":[172,185],"clinic":[173,217,238],"processes":[174],"performed":[176],"root":[178],"cause":[179],"analysis.":[180],"Interventions":[181],"included":[182,203,297],"developing":[183],"policies":[186],"procedures,":[188],"electronic":[189],"record":[191],"training,":[192],"interview":[194],"training":[195],"(first":[196],"PDSA":[197,220,318,335],"cycle).":[198,221],"was":[201,213,227,259],"initially":[202],"Oncology":[206],"Nurse":[207],"Navigator":[208],"(ONN)":[209],"workflow":[210,268],"but":[211],"later":[212],"expanded":[214],"include":[216],"nurses":[218],"(second":[219],"goal":[223],"project":[226],"within":[232],"2":[233],"weeks":[234,331],"50%.":[241],"Results:":[242],"year":[245],"before":[246],"intervention,":[248],"patients":[258,307,405],"at":[260],"2.7%.":[261],"Incorporating":[262],"into":[265],"ONN\u2019s":[267,299],"resulted":[269],"an":[271,342],"completion":[276],"31%,":[279],"observed":[282],"subsequent":[284],"drop":[285],"monthly":[292],"average":[293,343],"15%.":[295],"Reasons":[296],"panel":[301,385],"size":[302,386],"(350":[303],"new":[304],"annually),":[308],"competing":[309],"navigation":[310],"priorities,":[311],"concurrent":[313],"clinics.":[314],"second":[317,334],"cycle,":[319,336],"all":[320],"RNs":[321],"were":[322],"trained":[323],"completing":[325],"assessments.":[327],"7":[330],"following":[332],"rose":[340],"76%":[345,361],"per":[346],"week.":[347],"Conclusions:":[348],"We":[349],"increased":[350],"baseline":[357],"2.7%":[359],"improving":[363],"workflows":[364],"leveraging":[366],"current":[367],"resources.":[368],"Based":[369],"lessons":[372],"learned,":[373],"plan":[375,392],"add":[377],"another":[378],"ONN":[379],"position":[380],"make":[382],"more":[387],"manageable.":[388],"addition,":[390],"use":[394],"MyChart":[395],"messaging":[396],"tablets":[398],"self-administer":[400],"questionnaire":[403],"during":[406],"visit.":[408],"These":[409],"strategies":[410],"allow":[411],"expand":[413],"established":[419],"accounting":[421],"evolving":[423],"needs":[425],"throughout":[426],"their":[427],"journey.":[429]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-02T10:15:12.560889","created_date":"2023-10-27T00:00:00"}
