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. 2021 Nov 30:8:2333794X211060971.
doi: 10.1177/2333794X211060971. eCollection 2021.

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

Pyone David  1 , Nadia K Qureshi  1 , Lina Ha  1 , Vera Goldberg  1 , Erin McCune  2 , Jennifer Wojtowicz  2 , Katlyn Sullivan  2 , Garry Sigman  1 , Julie C O'Keefe  1
Affiliations

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

Pyone David et al. Glob Pediatr Health. .

Abstract

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).

Keywords: general pediatrics; medical education.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Post-intervention monthly positive screens, WCVs, and interventions. *Subjects from 2/2021 were eliminated to compare all full months.
See this image and copyright information in PMC

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