The Duke Center for Personalized Health Care and Lincoln Community Health Center collaborated on an applied research project to validate and explore the implementation of the Protocol for Responding to and Assessing Patients’ Assets, Risks and Experiences or PRAPARE—a standardized patient risk assessment tool consisting of a set of national core measures for addressing the social determinants of health—to better serve the needs of patients.
The PRAPARE is a survey which includes measures covering housing and material hardship, limited financial resources for food and other essential items, previous incarceration, social and emotional wellness and safety, and immigration status. Guided by the Health Equity Implementation Framework (HEIF), we collected qualitative data from clinicians and patients to evaluate barriers and facilitators to implementing PRAPARE.
This study was supported in part by the Blue Cross and Blue Shield Foundation of North Carolina. It was also supported in part by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number K12HL138030. Results of this work is published online in the BMC Health Services Research journal.