Coordinating Multisector Efforts to Address Social Needs in a Rural Midwestern Primary Care Setting

Samuel T. Savitz, Margaret M. Paul, Gretchen E. Mauerman, Amy E. Glasgow, Sarah B. Harper, Jessica J. McCoy, Erin C. Westfall, Robert D. and Patricia E, Kern Center for the Science of Health Care Delivery, Mayo Clinic, Department of Family Medicine, Mayo Clinic Health System Southwest Minnesota, and Automation, Mayo Clinic Health System

Journal of Primary Care & Community Health

Published online on July 28, 2026

Abstract

Journal of Primary Care & Community Health, Volume 17, January-December 2026.
Introduction/ObjectivesThe rise in screening for social drivers of health (SDoH) in primary care settings has led to questions about effective intervention design. A large primary care practice at Mayo Clinic developed a model centered on a full-time ...