Academic Journal
From Policy Statement to Practice: Integrating Social Needs Screening and Referral Assistance With Community Health Workers in an Urban Academic Health Center
| العنوان: | From Policy Statement to Practice: Integrating Social Needs Screening and Referral Assistance With Community Health Workers in an Urban Academic Health Center |
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| المؤلفون: | Kevin Fiori, Milani Patel, Dana Sanderson, Amanda Parsons, Sybil Hodgson, Jenna Scholnick, Eleanor Bathory, Tanya White-Davis, Neal Wigod, Tashi Chodon, Andrea Rich, Sandra Braganza |
| المصدر: | Journal of Primary Care & Community Health, Vol 10 (2019) |
| بيانات النشر: | SAGE Publishing, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Computer applications to medicine. Medical informatics LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270 |
| الوصف: | Purpose: Social and economic factors have been shown to affect health outcomes. In particular, social determinants of health (SDH) are linked to poor health outcomes in children. Research and some professional academies support routine social needs screening during primary care visits. Translating this recommendation into practice remains challenging due to the resources required and dearth of evidence-based research to guide health center level implementation. We describe our experience implementing a novel social needs screening program at an academic pediatric clinic. Methods: The Community Linkage to Care (CLC) pilot program integrates social needs screening and referral support using community health workers (CHWs) as part of routine primary care visits. Our multidisciplinary team performed process mapping, developed workflows, and led ongoing performance improvement activities. We established key elements of the CLC program through an iterative process We conducted social needs screens at 65% of eligible well-child visits from May 2017 to April 2018; 19.7% of screens had one or more positive responses. Childcare (48.8%), housing quality and/or availability (39.9%), and food insecurity (22.8%) were the most frequently reported needs. On average, 76% of providers had their patients screened on more than half of eligible well-child visits. Discussion: Our experience suggests that screening for social needs at well-child visits is feasible as part of routine primary care. We attribute progress to leveraging resources, obtaining provider buy-in, and defining program components to sustain activities. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2150-1327 21501327 |
| Relation: | https://doaj.org/toc/2150-1327 |
| DOI: | 10.1177/2150132719899207 |
| URL الوصول: | https://doaj.org/article/e66d103ddab24d309ccdac959f1778bf |
| رقم الانضمام: | edsdoj.66d103ddab24d309ccdac959f1778bf |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21501327 |
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| DOI: | 10.1177/2150132719899207 |