Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic

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/...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/bb53e5bf9dfc4c9394154ebad45b396c
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spelling	oai:doaj.org-article:bb53e5bf9dfc4c9394154ebad45b396c2021-12-01T02:03:25ZSocial Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic2333-794X10.1177/2333794X211060971https://doaj.org/article/bb53e5bf9dfc4c9394154ebad45b396c2021-11-01T00:00:00Zhttps://doi.org/10.1177/2333794X211060971https://doaj.org/toc/2333-794XThis 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 < .001). There was also an increase in resident physician self-reported knowledge in providing referrals ( P = .04).Pyone David MD, MSWNadia K. Qureshi MDLina Ha MDVera Goldberg MDErin McCune BSJennifer Wojtowicz MPHKatlyn Sullivan MScGarry Sigman MDJulie C. O’Keefe MDSAGE PublishingarticlePediatricsRJ1-570ENGlobal Pediatric Health, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 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 Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
description	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 < .001). There was also an increase in resident physician self-reported knowledge in providing referrals ( P = .04).
format	article
author	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
author_facet	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
author_sort	Pyone David MD, MSW
title	Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
title_short	Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
title_full	Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
title_fullStr	Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
title_full_unstemmed	Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic
title_sort	social determinants of health screening at well child visits: a pilot program implemented during the covid-19 pandemic
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/bb53e5bf9dfc4c9394154ebad45b396c
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Social Determinants of Health Screening at Well Child Visits: A Pilot Program Implemented During the COVID-19 Pandemic

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