Screening for Social Determinants of Health in Pediatric Resident Continuity Clinic

Marcia A. Morgenlander, Hollyce Tyrrell, Lynn C. Garfunkel, Janet Rose Serwint, Michael J. Steiner, Samantha Schilling

Research output: Contribution to journalArticle

Abstract

Objective: Describe current practices in systematic screening for social determinants of health (SDH)in pediatric resident clinics enrolled in the Continuity Research Network (CORNET). Methods: CORNET clinic directors were surveyed on demographics, barriers to screening, and screening practices for 15 SDH, including the screen source, timing of screening, process of administering the screen, and personnel involved in screening. Incidence rate ratios were tabulated to investigate relationships among screening practices and clinic staff composition. Results: Clinic response rate was 41% (65/158). Clinics reported screening for between 0 and 15 SDH (median, 7). Maternal depression (86%), child educational problems (84%), and food insecurity (71%)were the items most commonly screened. Immigration status (17%), parental health literacy (19%), and parental incarceration (21%)were least commonly screened. Within 3 years, clinics plan to screen for 25% of SDH not currently being screened. Barriers to screening included lack of time (63%), resources (50%), and training (46%). Conclusions: Screening for SDH in our study population of CORNET clinics is common but has not been universally implemented. Screening practices are variable and reflect the complex nature of screening, including the heterogeneity of the patient populations, the clinic staff composition, and the SDH encountered.

Original languageEnglish (US)
JournalAcademic pediatrics
DOIs
StatePublished - Jan 1 2019

Fingerprint

Social Determinants of Health
Pediatrics
Research
Health Literacy
Food Supply
Emigration and Immigration
Population Characteristics
Mothers
Demography
Incidence
Population

Keywords

  • CORNET
  • resident continuity clinic
  • screening
  • social determinants of health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Screening for Social Determinants of Health in Pediatric Resident Continuity Clinic. / Morgenlander, Marcia A.; Tyrrell, Hollyce; Garfunkel, Lynn C.; Serwint, Janet Rose; Steiner, Michael J.; Schilling, Samantha.

In: Academic pediatrics, 01.01.2019.

Research output: Contribution to journalArticle

Morgenlander, Marcia A. ; Tyrrell, Hollyce ; Garfunkel, Lynn C. ; Serwint, Janet Rose ; Steiner, Michael J. ; Schilling, Samantha. / Screening for Social Determinants of Health in Pediatric Resident Continuity Clinic. In: Academic pediatrics. 2019.
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