Desirability of Clinic-Based Financial Services in Urban Pediatric Primary Care
Devan Jaganath1, Karl Johnson2, Megan M Tschudy2
1Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD; Division of Pediatric Infectious Diseases, Department of Pediatrics, University of California San Francisco School of Medicine, San Francisco, CA.
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.
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