Food Insecurity Screening and Intervention Strategies in Pediatric Primary Care Practices: A Mixed Methods Study
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric clinics screen for food insecurity (FI), but integrating interventions and billing is inconsistent. Policy reforms are crucial to support effective FI care and assist families.
Area Of Science
- Healthcare delivery
- Public health
- Pediatric medicine
Background
- Food insecurity (FI) is a significant concern in pediatric care.
- Clinical practices for identifying and addressing FI vary nationwide.
- Healthcare policies increasingly mandate FI screening and quality metrics.
Purpose Of The Study
- To understand current food insecurity (FI) screening and intervention practices in pediatric clinics.
- To explore barriers and opportunities for efficient clinical integration of FI processes.
- To inform policy and payment model reforms for better FI support.
Main Methods
- A nationwide survey of 27 pediatric clinics was conducted.
- Semi-structured interviews with 25 clinics explored FI practices and policy impacts.
- Descriptive analysis of survey data and rapid qualitative analysis of interview themes were used.
Main Results
- Most clinics screened for FI using the Hunger Vital Sign and provided resource lists or referrals.
- Few clinics effectively coded or billed for FI services.
- Varied processes, multi-level barriers, and the need for policy/payment reform were identified.
Conclusions
- Pediatric clinics have adopted FI screening and interventions, but documentation and billing require streamlining.
- Performance metrics for FI screening should incorporate provider input and address existing barriers.
- Policy and payment reforms are essential for integrating FI care into health systems.
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