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Food Insecurity: Physician Perspectives, Screening and Communication.

Sally Heaberlin1, Kelly Skelly2, Marcy Rosenbaum1

  • 1University of Iowa Carver College of Medicine, Iowa City, IA.

Primer (Leawood, Kan.)
|September 6, 2024
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This summary is machine-generated.

Primary care physicians often find food insecurity (FI) challenging to discuss, leading to missed opportunities for identifying at-risk patients. Addressing screening barriers and improving communication strategies are crucial for effective patient care.

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Area of Science:

  • Medical Practice
  • Public Health
  • Health Services Research

Background:

  • Food insecurity (FI) is a significant social determinant of health.
  • Primary care physicians may face challenges in identifying and addressing FI in clinical settings.
  • Physician perspectives on FI screening are essential for improving patient care.

Purpose of the Study:

  • To explore primary care physician perspectives on food insecurity screening.
  • To identify decision-making processes, communication strategies, and barriers related to FI screening.
  • To understand physician experiences and attitudes towards addressing FI with patients.

Main Methods:

  • An exploratory study surveyed primary care physicians in the Iowa Research Network (IRENE).
  • The survey included structured and open-ended questions on FI screening experiences.
  • Thematic and descriptive analysis was used to interpret provider perspectives.

Main Results:

  • While most physicians observed FI, 27% never had.
  • Screening decisions were often prompted by patient conversation; key barriers included time constraints and lack of resources.
  • Physicians reported positive patient interactions and shared effective communication techniques.

Conclusions:

  • Physician attitudes and practices reveal gaps and opportunities in FI screening.
  • Understanding these perspectives can guide efforts to improve consistent and effective FI screening.
  • Addressing barriers can enhance the integration of FI assessment into routine primary care.