Table 3. Percentage of Physician Practices and Hospitals That Reported Barriers to Care Delivery Innovation, by Screening for Food Insecurity, Housing Instability, Utility Needs, Transportation Needs, and Experience With Interpersonal Violence.
| Barrier | Practices | Hospitals | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| No.a | Weighted % (95% CI) | P Value | No.a | Weighted % (95% CI) | P Value | |||||
| Not a Barrier | Minor Barrier | Major Barrier | Not a Barrier | Minor Barrier | Major Barrier | |||||
| Lack of financial resources | ||||||||||
| Screens | 334 | 23.8 (18.0-30.9) |
38.7 (31.7-46.2) |
37.5 (29.7-45.9) |
.001 | 176 | 19.6 (13.4-27.7) |
44.3 (35.5-53.4) |
36.2 (28.6-44.5) |
<.001 |
| Does not screen | 1757 | 14.1 (11.8-16.8) |
34.8 (31.9-38.0) |
51.0 (47.7-54.4) |
523 | 10.4 (7.5-14.1) |
29.6 (41.1-35.8) |
60.0 (52.9-66.8) |
||
| Lack of time | ||||||||||
| Screens | 336 | 24.2 (18.3-31.3) |
47.3 (39.5-55.2) |
28.5 (21.4-36.9) |
<.001 | 176 | 33.7 (25.5-43.1) |
48.2 (39.8-56.6) |
18.1 (12.6-25.4) |
.004 |
| Does not screen | 1761 | 13.2 (11.0-15.8) |
36.1 (33.0-39.3) |
50.7 (47.4-54.0) |
522 | 21.7 (16.7-27.6) |
43.6 (36.3-51.3) |
34.7 (30.0-39.8) |
||
| Lack of incentives | ||||||||||
| Screens | 333 | 32.1 (25.5-39.6) |
42.9 (35.4-50.8) |
25.0 (17.9-33.7) |
.001 | 175 | 38.3 (29.9-47.3) |
41.9 (34.1-50.2) |
19.8 (13.7-27.8) |
.003 |
| Does not screen | 1762 | 19.4 (17.0-22.0) |
43.9 (40.6-47.2) |
36.8 (33.6-40.1) |
522 | 23.1 (18.5-28.5) |
45.5 (40.7-50.3) |
31.4 (26.4-36.9) |
||
| Lack of knowledge | ||||||||||
| Screens | 333 | 34.0 (27.0-41.6) |
49.3 (41.4-57.2) |
16.8 (10.5-25.6) |
.02 | 176 | 39.2 (30.4-48.7) |
50.9 (41.9-59.8) |
10.0 (5.6-17.0) |
<.001 |
| Does not screen | 1763 | 22.3 (19.7-25.2) |
54.9 (51.6-58.2) |
22.7 (20.1-25.6) |
523 | 22.8 (18.1-28.4) |
50.1 (45.5-54.8) |
27.1 (22.2-32.5) |
||
| Lack of processes to identify innovations | ||||||||||
| Screens | 333 | 31.6 (24.9-39.1) |
55.4 (47.5-63.0) |
13.1 (8.9-18.8) |
<.001 | 177 | 41.6 (33.1-50.6) |
47.4 (38.7-56.2) |
11.0 (6.5-18.0) |
.008 |
| Does not screen | 1757 | 19.3 (16.9-22.0) |
53.1 (49.8-56.4) |
27.6 (24.5-30.8) |
522 | 26.1 (20.9-31.1) |
56.7 (49.1 -64.0) |
17.2 (12.4-22.1) |
||
| Lack of process for disseminating | ||||||||||
| Screens | 333 | 32.1 (25.4-39.6) |
52.4 (44.4-60.2) |
15.5 (10.8-21.9) |
<.001 | 176 | 39.1 (30.4-48.5) |
47.8 (38.9-56.9) |
13.1 (8.0-20.9) |
.01 |
| Does not screen | 1759 | 19.9 (17.4-22.6) |
53.8 (50.5-57.1) |
26.4 (23.6-29.4) |
523 | 24.5 (19.8-30.1) |
56.5 (51.9-61.1) |
19.0 (14.2-24.9) |
||
a
Unweighted number of survey respondents from the 2017-2018 National Survey of Healthcare Organizations and Systems.