A recent survey published in The American Journal of Managed Care reveals that emergency departments (EDs) across the United States are struggling to screen for social determinants of health (SDOH), which significantly impacts health disparities among vulnerable populations. The study, conducted by Giuliana Grossi, found that fewer than one-third of EDs routinely screen for adverse SDOH such as housing instability, food insecurity, transportation difficulties, and trouble paying for utilities.
Despite the high prevalence of these social risks among patients, most EDs focus primarily on screening for substance use and mental health issues. This lack of comprehensive screening for SDOH means that many patients’ broader health needs are overlooked, perpetuating poor health outcomes and exacerbating existing disparities.
Dr. Jubril Oyeyemi, chief medical officer of Camden Coalition, emphasized the importance of SDOH screening in acute care settings. He pointed out that patients with complex care needs often encounter unfamiliar faces in EDs, leading to a lack of continuity in their care. This disconnect can result in inadequate support for patients’ social health needs, further contributing to health disparities.
The survey, which included responses from 232 EDs, highlights the urgent need for policies and resources dedicated to addressing SDOH in emergency care. By implementing routine screening and response strategies, EDs can better support vulnerable populations and improve overall health outcomes.
See: “EDs Struggle to Screen, Respond to Social Determinants of Health, Survey Finds” (April 23, 2025)
