Screening for Social Determinants of Health in Pediatric Resident Continuity Clinic.
Describe current practices in systematic screening for social determinants of health (SDH) in pediatric resident clinics enrolled in the Continuity Research Network (CORNET). CORNET clinic directors were surveyed on demographics, barriers to screening, and screening practices for 15 SDH, including t...
| Publicado en: | Academic Pediatrics Vol. 19; no. 8; pp. 868 - 875 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Nov2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139295430&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139295430 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Nov2019 vid: 19 iid: 8 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 139295430 139295430 139295430 10.1016/j.acap.2019.02.008 139295430 ppf: 868 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Screening for Social Determinants of Health in Pediatric Resident Continuity Clinic. aug: au: Morgenlander, Marcia A. Tyrrell, Hollyce Garfunkel, Lynn C. Serwint, Janet R. Steiner, Michael J. Schilling, Samantha affil: Department of Family Medicine sug: subj: Social Determinants of Health Evaluation Hospitals, Pediatric Health Screening Residential Care Human Time Factors Health Services Accessibility Incidence Physicians Depression, Postpartum Food Security Educational Status Emigration and Immigration Health Literacy Parental Attitudes ab: Describe current practices in systematic screening for social determinants of health (SDH) in pediatric resident clinics enrolled in the Continuity Research Network (CORNET). CORNET clinic directors were surveyed on demographics, barriers to screening, and screening practices for 15 SDH, including the screen source, timing of screening, process of administering the screen, and personnel involved in screening. Incidence rate ratios were tabulated to investigate relationships among screening practices and clinic staff composition. Clinic response rate was 41% (65/158). Clinics reported screening for between 0 and 15 SDH (median, 7). Maternal depression (86%), child educational problems (84%), and food insecurity (71%) were the items most commonly screened. Immigration status (17%), parental health literacy (19%), and parental incarceration (21%) were least commonly screened. Within 3 years, clinics plan to screen for 25% of SDH not currently being screened. Barriers to screening included lack of time (63%), resources (50%), and training (46%). Screening for SDH in our study population of CORNET clinics is common but has not been universally implemented. Screening practices are variable and reflect the complex nature of screening, including the heterogeneity of the patient populations, the clinic staff composition, and the SDH encountered. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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