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Outcomes were any hospitalization, any ED visit, preventable hospitalization, and preventable ED visit. Multivariable logistic regression adjusted for demographics, comorbidities, and neighborhood social conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>\n                      Overall, 15.9% screened positive for\u2009\u2265\u20091 social need. The most prevalent needs were food insecurity (5.9%) and problems with residence (5.6%), followed by housing stability concerns (4.6%) and transportation barriers (4.1%). After covariate adjustment, transportation-related delayed care was associated with a 6.8-percentage-point increase in the probability of having\u2009\u2265\u20091 hospitalization (95% CI, 4.1 to 9.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), an 8.4-percentage-point increase in the probability of having\u2009\u2265\u20091 ED visit (95% CI, 4.8 to 12.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), a 1.2-percentage-point increase in the probability of having\u2009\u2265\u20091 preventable hospitalization (95% CI, 0.1 to 2.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04), and a 4.2-percentage-point increase in the probability of having\u2009\u2265\u20091 preventable ED visit (95% CI, 1.6 to 6.7;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). A positive screening for housing-related problems was associated with increased probability of having\u2009\u2265\u20091 ED visit. Other domains were not significantly associated with outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a safety-net setting, transportation barriers showed the strongest and most consistent associations with subsequent acute care use. Targeted transportation and care-navigation strategies may be critical components of social care interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10908-3","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:47:32Z","timestamp":1791222452000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social Needs Screening and Subsequent Acute Care Utilization in a Large Safety-Net Health System: A Retrospective Cohort Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6447-8714","authenticated-orcid":false,"given":"Miaoqing","family":"Jia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanbo","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Fiori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Adamson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manyao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Tanner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William B.","family":"Weeks","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Speyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Aerts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongkang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"10908_CR1","unstructured":"World Health Organization. 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