Impact of a Housing and Health Focused Residency Curriculum on Community Health Worker Utilization for Unmet Housing Needs
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View abstract on PubMed
Summary
This summary is machine-generated.A housing curriculum for medical residents did not increase referrals to community health workers for patients with housing needs. Further systemic interventions are needed to address health-related social needs effectively.
Area Of Science
- Medical Education
- Public Health
- Health Services Research
Background
- Stable housing is a critical health-related social need (HRSN) often overlooked in medical training.
- Community Health Worker (CHW) interventions can address unmet patient housing needs.
Purpose Of The Study
- To evaluate the effectiveness of a resident housing curriculum on increasing CHW referrals for patients with housing instability.
- To identify factors influencing CHW referral rates among patients screened for HRSNs.
Main Methods
- Retrospective cohort study of Internal Medicine residents in an urban setting.
- Multivariate mixed-effects logistic regression analyzed the impact of curriculum exposure on CHW referrals.
- Data collected from July 2021 to August 2024 on patients screening positive for housing needs.
Main Results
- Of 906 patients with housing needs, 33.4% were referred to CHWs.
- Clinician curriculum exposure was not a significant predictor of CHW referrals (aOR=1.03).
- Patient age, Spanish language, and Medicaid coverage were associated with higher referral likelihood.
Conclusions
- The resident housing curriculum did not significantly increase CHW referrals.
- Systemic and multimodal interventions integrated into clinical workflows are likely necessary to improve HRSN intervention uptake.
- Further research should explore strategies to enhance the utilization of CHW services for housing support.
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