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The First Step Is Knowing: Quantifying Social Need Through Screening in a Pediatric Surgery Clinic.

Paris D Rollins1, Sarah King2, Alicia Majcher3

  • 1Section of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.

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|December 24, 2025
PubMed
Summary

Pediatric surgery patients frequently face unmet social needs, with one in five screening positive. A novel health-related social need (HRSN) screening program in a pediatric surgery clinic demonstrated feasibility for identifying these risks.

Keywords:
Health disparitiesHealth equityHealth-related social needNeeds assessmentPediatric surgeryScreeningSocial determinants of health

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Area of Science:

  • Pediatric Surgery
  • Health Disparities
  • Social Determinants of Health

Background:

  • Patient characteristics like income and insurance status are linked to pediatric surgical disparities.
  • Health-related social need (HRSN) screening is a growing tool in primary care to address health inequities.
  • This study assessed a new HRSN screening program within a pediatric surgery setting.

Purpose of the Study:

  • To evaluate the impact and feasibility of implementing a novel health-related social need (HRSN) screening program in a pediatric surgery clinic.
  • To identify the prevalence of unmet social needs among pediatric surgery patients.
  • To assess the rate of assistance requests and referrals generated by the screening program.

Main Methods:

  • Screening was implemented for new patient encounters in an ambulatory pediatric surgery practice.
  • Patients or caregivers completed a questionnaire up to one month prior to their visit.
  • Descriptive statistics were used to analyze screening results, including patient demographics and reported needs.

Main Results:

  • Over 24 months, 1410 patients were screened; 17.1% screened positive for at least one unmet social need.
  • The most common unmet needs were virtual care access issues (24.9%) and food insecurity (22.3%).
  • Only 34.0% of patients screening positive requested assistance, and only 5.8% of total screenings resulted in a referral.

Conclusions:

  • Pediatric surgery patients experience significant unmet social needs.
  • Standardized HRSN screening is feasible in ambulatory surgical settings, aiding early identification of social risk factors.
  • Further research is required to understand patient reluctance in accepting assistance.