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Screening for Social Determinants of Health at Well-Child Appointments: A Quality Improvement Project

Kimberly Higginbotham1, Terri Davis Crutcher2, Sharon M Karp3

  • 1Cedarville University, School of Nursing, 251 N. Main Street, Cedarville, OH 45314, USA.

The Nursing Clinics of North America
|February 5, 2019
PubMed

Insights

Poverty impacts children's health and development. This project implemented screening for food and housing insecurity in a rural clinic to address these critical social determinants of health.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Determinants of Health

Background:

  • Children in poverty face risks to growth and development due to unmet needs like food and housing.
  • Poverty is linked to adverse cognitive, behavioral, and psychological outcomes in children.
  • Pediatric primary care providers play a role in addressing social determinants of health.

Purpose of the Study:

  • To implement and evaluate a quality improvement project focused on screening for food and housing insecurity.
  • To integrate social determinants of health screening into routine well-child visits within a rural pediatric primary care setting.

Main Methods:

  • Utilized the Model for Improvement framework to guide the quality improvement process.
  • Implemented systematic screening for food and housing insecurity during pediatric well-child appointments.
  • Conducted the project in a rural health clinic setting.

Main Results:

  • Successfully integrated food and housing insecurity screening into well-child visits.
  • Identified children experiencing unmet basic needs within the clinic population.
  • Demonstrated feasibility of screening in a rural primary care setting.

Conclusions:

  • Screening for food and housing insecurity is a feasible and important component of pediatric primary care.
  • Addressing social determinants of health in pediatric settings can mitigate risks associated with poverty.
  • Quality improvement initiatives can enhance the capacity of rural clinics to support vulnerable children.

Keywords:
ChildrenFood insecurityHousing insecurityPovertyQuality improvementRural health clinicSocial determinants of healthToxic stress

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