Journal article
Successes, Challenges, and Considerations for Integrating Referral into Food Insecurity Screening in Pediatric Settings
Journal of health care for the poor and underserved, v 29(1)
01 Feb 2018
PMID: 29503293
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Food insecurity, lack of access to enough food for an active and healthy life, is associated with poor child health. Three pediatric clinics implemented a two-question food insecurity screening of 7,284 families with children younger than five years. Over one thousand (1,133, 15.6%) reported food insecurity and 630 (55.6%) were referred to a benefits access organization for connection to public benefits and community resources. This study evaluated the efficacy of screening and referral through process evaluation, key informant interviews, and focus groups with 19 caregivers and 11 clinic staff. Using grounded theory, transcript themes were coded into facilitators and barriers of screening and referral. Facilitators included trust between caregivers and staff, choice of screening methods, and assistance navigating benefits application. Barriers included complex administration of referral, privacy and stigma concerns, and caregivers' current benefit enrollment or ineligibility. Results demonstrate importance of integrated screening and referral consent processes, strong communication, and convenient outreach for families.
Metrics
Details
- Title
- Successes, Challenges, and Considerations for Integrating Referral into Food Insecurity Screening in Pediatric Settings
- Creators
- Molly Knowles - Drexel Univ, Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA 19104 USASaba Khan - Drexel Univ, Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA 19104 USADeepak Palakshappa - Childrens Hosp Philadelphia, Philadelphia, PA 19104 USARachel Cahill - Benefits Data Trust, Philadelphia, PA USAEvelyne Kruger - Benefits Data Trust, Philadelphia, PA USABridget G. Poserina - Childrens Hosp Philadelphia, Philadelphia, PA 19104 USABrittany KochMariana Chilton - Drexel University
- Publication Details
- Journal of health care for the poor and underserved, v 29(1)
- Publisher
- Johns Hopkins Univ Press
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000426428600013
- Scopus ID
- 2-s2.0-85042562928
- Other Identifier
- 991019168968504721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health