Desirability of Clinic-Based Financial Services in Urban Pediatric Primary Care

Devan Jaganath, Karl Johnson, Megan M. Tschudy, Kristin Topel, Brian Stackhouse, Barry S. Solomon

Research output: Contribution to journalArticlepeer-review


Objectives: To determine the desirability of integrating financial services in pediatric primary care among caregivers and older adolescents. Study design: We conducted a cross-sectional study among caregivers and late adolescents 18 years and older attending an urban, pediatric primary care clinic. Results: The 221 participants had a mean age of 32.1 years, with 28% of the sample aged 18-25 years. The majority were African American (90.1%), female (83.3%), and single parents (55.1%). More than one-third of the participants (35.8%) reported no household earned income, and 26.7% had a yearly household total income of <$12,000. More than one-half (61.5%) reported financial stress in general, and 67.9% believed that the clinic should provide financial services, including financial education and job workshops. A greater proportion of those who desired clinic-based services were African American (94.7% vs 75%; P <.001) and had a low or middle subjective social status (95.7% vs 83.7%; P =.01). Conclusions: Clinic-based financial services are desired by caregivers and late adolescents in an urban pediatric primary care practice. Prospective studies are needed to assess the long-term impact of integrated services on childhood poverty and family well-being.

Original languageEnglish (US)
Pages (from-to)285-290
Number of pages6
JournalJournal of Pediatrics
StatePublished - Nov 2018


  • childhood poverty
  • social determinants of health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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