Lupus & antiphospholipid syndrome

Screening for Social Determinants of Health in Patients With Systemic Lupus Erythematosus: A Point‐of‐Care Feasibility Study

Arthritis Care Res (Hoboken)Published Prospective mixed-methods feasibility pilot study

Authors' conclusion

With an appropriately resourced and trained care team, successful routine SDoH screening in lupus clinics is feasible, valuable to clinicians and care teams, and effective for connecting patients to needed social resources.

Study context

Population
Adults with systemic lupus erythematosus (SLE) at two large academic tertiary lupus clinics in the US (July to October 2023)65 completed patient survey
Participants
69 adults
Outcome
Feasibility of routine point-of-care SDoH screening and associated barriers and facilitators at physician, care team and patient levels
Methodological detailsobservational, two academic tertiary lupus clinics, thematic analysis, Screening over two weeks (institution 1, July to August 2023) and seven weeks (institution 2, August to October 2023), Up to eight social determinants of health (SDoH) domains chosen by participating institutions; optional patient experience survey afterward
  • Observational
  • Two academic tertiary lupus clinics
  • Thematic analysis
  • Screening over two weeks (institution 1, July to August 2023) and seven weeks (institution 2, August to October 2023)
  • Up to eight SDoH domains chosen by participating institutions; optional patient experience survey afterward

Main finding

As reported in the abstract

Feasibility of SDoH screening
  • SDoH screening successfully implemented with minimal disruption to clinical workflow
  • Viewed as valuable by physicians, care teams and patients
  • Facilitators: institutional leadership buy-in to address health equity; brief screening tool format (five minutes or less)
  • Barriers: limited resources and insufficient time or training

Observational data: associations, not effects.

Original publication

Screening for Social Determinants of Health in Patients With Systemic Lupus Erythematosus: A Point‐of‐Care Feasibility Study. Arthritis Care Res (Hoboken). Published 19 July 2025. doi:10.1002/acr.25572

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