Publications by authors named "Michelle Torby"
Despite increasing resources dedicated to identifying and addressing social risks in health care settings, many patients screening positive for social risks either decline assistance or do not follow up with offered resources. This study assessed predictors of engagement with offered social care assistance through guided self-navigation or in-person assistance. Data came from a cross-sectional analysis of 6-month follow-up survey data from an ongoing trial of participants with poorly controlled diabetes and a positive social risk screen randomized to guided online self-navigation or in-person social care assistance.
View Article and Find Full Text PDFIntroduction: A substantial proportion of patients screening positive for social risks either decline assistance or do not follow-up with offered resources. This study examined patient interest in and engagement with offered social care assistance among adults with poorly controlled diabetes at an academic medical center.
Methods: Surveys (n=307) and purposively sampled follow-up interviews (n=40) were conducted 6 months after randomization to receive guided online self-navigation or in-person assistance to address unmet social needs.
Article Synopsis
- A systematic scoping review examined interventions aimed at reducing medical financial hardship, specifically focusing on out-of-pocket healthcare expenses, analyzing studies published from 1980 to 2020.
- Out of 2,412 articles screened, only 12 met the criteria for inclusion, revealing that while behavioral and some psychosocial outcomes improved, no significant reduction in out-of-pocket expenses or improvements in health status were reported.
- The review highlights a lack of rigorous studies in this area, suggesting that future research should establish clearer intervention definitions, standardized outcome measurements, and robust study designs to better understand and mitigate financial hardship in healthcare.