{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:11:21Z","timestamp":1777932681976,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Population Health Management"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Social risks refer to individuals\u2019 social and economic conditions shaped by underlying social determinants of health. Health care delivery organizations increasingly screen patients for social risks given their potential impact on health outcomes. However, it can be challenging to meaningfully address patients\u2019 needs. Existing frameworks do not comprehensively describe and classify ways in which health care delivery organizations can address social risks after screening. Addressing this gap, the authors developed the Social Risk ACTIONS framework (Actionability Characteristics To Inform Organizations\u2019 Next steps after Screening) describing 4 dimensions of actionability: Level of action, Actor, Purpose of action, and Action. First, social risk actions can occur at 3 organizational levels (ie, patient encounter, clinical practice\/institution, community). Second, social risk actions are initiated by different staff members, referred to as \u201cactors\u201d (ie, clinical care professionals with direct patient contact, clinical\/institutional leaders, and researchers). Third, social risk actions can serve one or more purposes: strengthening relationships with patients, tailoring care, modifying the social risk itself, or facilitating population health, research, or advocacy. Finally, specific actions on social risks vary by level, actor, and purpose. This article presents the Social Risk ACTIONS framework, applies its concepts to 2 social risks (food insecurity and homelessness), and discusses its broader applications and implications. The framework offers an approach for leaders of health care delivery organizations to assess current efforts and identify additional opportunities to address social risks. Future work should validate this framework with patients, clinicians, and health care leaders, and incorporate implementation challenges to social risk action.<\/jats:p>","DOI":"10.1089\/pop.2024.0162","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T12:38:42Z","timestamp":1732538322000},"page":"397-404","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Social Risk ACTIONS Framework: Characterizing Responses to Social Risks by Health Care Delivery Organizations"],"prefix":"10.1177","volume":"27","author":[{"given":"Mayuree","family":"Rao","sequence":"first","affiliation":[{"name":"Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA."},{"name":"General Medicine Service, Veterans Affairs (VA) Puget Sound Health Care System, Seattle, Washington, USA."},{"name":"Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Maciejewski","sequence":"additional","affiliation":[{"name":"Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, North Carolina, USA."},{"name":"Department of Population Health Sciences, Duke University, Durham, North Carolina, USA."},{"name":"Division of General Internal Medicine, Department of Medicine, Duke University, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Nelson","sequence":"additional","affiliation":[{"name":"Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA."},{"name":"General Medicine Service, Veterans Affairs (VA) Puget Sound Health Care System, Seattle, Washington, USA."},{"name":"Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia J.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Center of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, Rhode Island, USA."},{"name":"Department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA."},{"name":"Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hill L.","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics &amp; Data Science, Yale School of Medicine, New Haven, Connecticut, USA."},{"name":"Pain Research, Informatics, Multi-morbidities, and Education Center, VA Connecticut Healthcare System, West Haven, Connecticut, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Marcotte","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donna M.","family":"Zulman","sequence":"additional","affiliation":[{"name":"Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, California, USA."},{"name":"Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.12833"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.22.0400"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMms2211450"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.01507"},{"key":"e_1_3_5_6_2","volume-title":"Principles and Practice of Screening for Disease","author":"Wilson JMG","year":"1968","unstructured":"Wilson JMG, , Jungner G, , Organization WH. 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