Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
Autor: | Pyone David MD, MSW, Nadia K. Qureshi MD, Lina Ha MD, Vera Goldberg MD, Erin McCune BS, Jennifer Wojtowicz MPH, Katlyn Sullivan MSc, Garry Sigman MD, Julie C. O’Keefe MD |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Global Pediatric Health, Vol 8 (2021) |
Druh dokumentu: | article |
ISSN: | 2333-794X 2333794X |
DOI: | 10.1177/2333794X211060971 |
Popis: | This study demonstrates the challenges of establishing social determinants of health (SDH) screening at well child visits (WCVs) during the COVID-19 pandemic. We conducted a 6-month pre-intervention retrospective chart review (2/2020-8/2020) and 6-month post-intervention prospective chart review (8/2020-2/2021) of an SDH screening and referral protocol at a single suburban academic pediatric clinic. WCVs were screened for food, financial, and transportation needs. With the new protocol, 46% of eligible WCVs (n = 1253/2729) had documented screening results. Self-report of screened visits found 34.6% with financial strain, 32% with worry about food insecurity, 25.1% with food insecurity, 5.3% with medical transportation difficulties, and 6% with daily living transportation difficulties. There was an increase in resources offered during the post-intervention period (OR = 11.5 [7.1-18.6], P |
Databáze: | Directory of Open Access Journals |
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