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Health-Related Social Needs Screening and Referral in Pediatric Primary Care: A Systematic Review
Insights
This review examines health-related social needs (HRSN) screening and referral in pediatric primary care. It found diverse patient-centered approaches that may be adaptable to various settings.
Area of Science:
- Pediatric Primary Care
- Public Health
- Health Services Research
Background:
- Health-related social needs (HRSN) significantly impact child health outcomes.
- Screening and referral for HRSN are increasingly recognized as crucial in pediatric primary care settings.
Purpose of the Study:
- To review existing approaches for health-related social needs screening and referral in pediatric primary care.
- To identify diverse methods and outcomes reported in the literature.
Main Methods:
- A comprehensive literature search was conducted across PsycINFO, PubMed, and Google Scholar.
- Peer-reviewed studies from the U.S. published within the last 30 years, focusing on pediatric primary care (up to age 18) and HRSN screening/referral, were included.
- Data from 20 eligible studies were summarized descriptively.
Main Results:
- A variety of screening targets, modalities, and referral support methods were identified across the included studies.
- The prevalence of positive HRSN screens varied based on the specific screening process and patient population.
- The reviewed studies encompassed multiple domains of health-related social needs.
Conclusions:
- Patient-centered innovations for HRSN screening and referral in pediatric primary care are diverse and adaptable.
- Rigorous evaluation of these innovative models is essential to understand their effectiveness and optimize implementation.
- The findings suggest potential strategies for improving care integration and addressing social determinants of health in children.
Introduction:
This study aimed to review approaches to health-related social needs (HRSN) screening and referral in pediatric primary care.
Method:
PsycINFO, PubMed, and Google Scholar databases were searched to include peer-reviewed studies conducted in the U.S. over the last 30 years that reported HRSN screening and/or referral outcomes in primary care up to age 18. Studies included multiple HRSN domains and a variety of study designs. Data were summarized descriptively.
Results:
20 studies met inclusion criteria. A variety of screening targets and modalities were employed in addition to referral support methods. Positive screens among the domains reported varied depending on the screening process and sample.
Discussion:
This review highlights a range of patient-centered innovations for HRSN screening and referral that may be adaptable to a range of local needs and capacities. Ongoing rigorous evaluation of these models is needed.
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