Challenges and Successes with Food Resource Referrals for Food-Insecure Patients with Diabetes
| Autor: | Elizabeth Murphy, Hilary K. Seligman, Sanjana Marpadga, Jamie Leung, Alicia Fernandez, Audrey Tang |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Referral MEDLINE Health Services Accessibility Food Supply Interviews as Topic 03 medical and health sciences 0302 clinical medicine Diabetes clinic Phone Clinical Research Risk Factors 030225 pediatrics Screening programs Diabetes Mellitus Medicine Humans 030212 general & internal medicine Community Health Services Food resource Referral and Consultation Metabolic and endocrine Qualitative Research Nutrition screening and diagnosis business.industry Prevention digestive oral and skin physiology Diabetes General Medicine Health Services Middle Aged Original Research & Contributions Food insecurity Detection Family medicine Health Resources Zero Hunger Female San Francisco 4.4 Population screening business Qualitative research |
| Zdroj: | The Permanente journal, vol 23, iss 1 |
| ISSN: | 1552-5775 |
| Popis: | Introduction Clinics increasingly screen patients for food insecurity, but little is known about the efficacy of referring food-insecure patients to community-based food resources. Objective To evaluate the implementation of a tailored community food resource referral program in a safety-net diabetes clinic. Methods We conducted semistructured phone interviews with food-insecure patients participating in a screening and referral program in a diabetes clinic affiliated with a safety-net hospital. In this qualitative study, we describe barriers to and facilitators of successful food resource referrals from the patient's perspective. Results The prevalence of food insecurity was high (60%). Provision of written and verbal information alone about community food resources resulted in low linkage rates (0%-4%), even with individually tailored referrals. Misperceptions about eligibility, fears around government program registration, inaccessibility, lack of information retention, competing priorities, an inability to cook, stigma, and a perceived sense of stability with existing food support were major barriers to use. Personnel-guided, in-clinic enrollment to a food resource facilitated a higher connection rate (31%). Discussion Results of this study suggest that screening for food insecurity followed by a list of food resources for those screening positive may not adequately address patient barriers to using community-based food resources. For food insecurity screening programs in the clinical setting to be effective, systems must not only distribute food resource information but also assist patients in enrollment processes. |
| Databáze: | OpenAIRE |
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