Improving Screening Rates for Social Determinants of Health in Pediatric Primary Care Practices.
The COVID-19 pandemic highlighted pediatric health care disparities and disrupted routine care, including social needs assessments. The American Academy of Pediatrics recommends universal screening for Social Determinants of Health (SDOH), yet implementation remains inconsistent in primary care sett...
| Publicado en: | Population Health Management Vol. 29; no. 3; pp. 164 - 173 |
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| Autores principales: | , , , , |
| Formato: | algorithm questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jun2026
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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=193712150&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193712150 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19427891 8765 jtl: Population Health Management issn: 19427891 maglogo: N pubinfo: dt: Jun2026 vid: 29 iid: 3 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 193712150 193712150 193712150 10.1177/19427891261434673 193712150 ppf: 164 ppct: 9 formats: tig: atl: Improving Screening Rates for Social Determinants of Health in Pediatric Primary Care Practices. aug: au: Rao, Vara S. Chamberlain, Celeste Bernstein, Bruce Williams, Na-Tasha Cooper, Mary Reich affil: Nemours Children Health, Pennsylvania, USA. sug: subj: Pediatric Care Primary Health Care Social Determinants of Health Evaluation Health Screening Standards Professional Practice Quality Improvement Program Implementation Referral and Consultation Human Sustainable Growth Conceptual Framework Implementation Science Healthcare Disparities Socioeconomic Disparities in Health Population Health Child Health United States Chi Square Test Odds Ratio Descriptive Statistics Data Analysis Software ab: The COVID-19 pandemic highlighted pediatric health care disparities and disrupted routine care, including social needs assessments. The American Academy of Pediatrics recommends universal screening for Social Determinants of Health (SDOH), yet implementation remains inconsistent in primary care settings. This quality improvement (QI) project aimed to implement a standardized, sustainable SDOH screening and referral process in pediatric primary care, hypothesizing that structured interventions would improve screening rates. This QI initiative was conducted from January to September 2023 across six practices within a large pediatric health system. Eligible patients (ages 0–19) included those attending their first well visit of the calendar year. The SMART aim targeted a 50% increase in SDOH screening compliance, from 28% at baseline to 42% over 9 months. Using the Consolidated Framework for Implementation Research and two Plan-Do-Study-Act cycles, the team addressed key implementation barriers and refined interventions. The primary measure was screening completion rate; the balancing measure was the number of refusals to screen. SDOH screening rates increased from 28% to 55%, with eligible patient volumes ranging from 2400 to 5500. All six practices demonstrated statistically significant improvements (P < 0.001). Positive screens ranged from 3.3% to 8% of patients screened. Screening refusals increased significantly (P < 0.001). Standardized SDOH screening, implemented through structured QI methods and stakeholder engagement, significantly improved screening rates in pediatric primary care. Future studies should assess referral effectiveness, clinical outcomes, cost-effectiveness, and strategies to mitigate patient discomfort and systemic barriers. pubtype: Academic Journal doctype: algorithm questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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