Integrating Social Needs Screening and Community Health Workers in Primary Care: The Community Linkage to Care Program
| Autor: | Kevin P. Fiori, Patrizia Bernard, Renee Whiskey, Dana Sanderson, Amanda Parsons, Colin D. Rehm, Tashi Chodon, Michael L. Rinke, Sandra Braganza |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Social Determinants of Health Social Welfare Logistic regression Article 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Humans Medicine 030212 general & internal medicine Social determinants of health Poverty Referral and Consultation Community Health Workers Linkage (software) Primary Health Care Social work business.industry Odds ratio Confidence interval Outreach Family medicine Pediatrics Perinatology and Child Health New York City business Needs Assessment Program Evaluation |
| Zdroj: | Clin Pediatr (Phila) |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/0009922820908589 |
| Popis: | Clinic-based social needs screening has been associated with increased access to social services and improved health outcomes. Using a pragmatic study design in an urban pediatric practice, we used logistic regression to identify factors associated with successful social service uptake. From December 2017 to November 2018, 4948 households were screened for social needs, and 20% self-reported at least one. Of the 287 households with unmet needs who were referred and interested in further assistance, 43% reported successful social service uptake. Greater than 4 outreach encounters (adjusted odds ratio = 1.92; 95% confidence interval = 1.06-3.49) and follow-up time >30 days (adjusted odds ratio = 0.43; 95% confidence interval = 0.25-0.73) were significantly associated with successful referrals. These findings have implementation implications for programs aiming to address social needs in practice. Less than half of households reported successful referrals, which suggests the need for additional research and an opportunity for further program optimization. |
| Databáze: | OpenAIRE |
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