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Related Experiment Video

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Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
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Healthcare Utilization Following Implementation of a Pediatric Social Needs Screening Program.

Ashley Gibson1, Kaleigh Riggs-Harpur1, Midhat Jafry1

  • 1The University of Texas Health Science Center at Houston, USA.

Journal of Primary Care & Community Health
|March 19, 2026
PubMed
Summary
This summary is machine-generated.

Implementing a universal social needs screening program in pediatric care reduced emergency and sick visits. This initiative improved healthcare utilization patterns for children, demonstrating a positive impact on their health outcomes.

Keywords:
care coordinationhealthcare utilizationpediatric primary caresocial determinants of healthsocial needs screening

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Area of Science:

  • Pediatric Primary Care
  • Healthcare Management
  • Social Determinants of Health

Background:

  • Social needs screening is increasingly recognized as crucial for holistic pediatric care.
  • Previous research has explored the impact of social determinants on child health outcomes.
  • Understanding healthcare utilization patterns is key to optimizing pediatric primary care services.

Purpose of the Study:

  • To evaluate the impact of a universal social needs screening and referral program on pediatric healthcare utilization.
  • To determine if the program influenced emergency, sick, hospitalization, and preventive care visits.
  • To assess changes in healthcare utilization post-program implementation.

Main Methods:

  • A retrospective, observational study compared two cohorts from a pediatric primary care clinic.
  • Electronic health record data from pre-implementation (08/2021-07/2022) and post-implementation (09/2022-08/2023) periods were analyzed.
  • Mann-Whitney U tests and Zero-inflated Poisson regression models were used to compare healthcare utilization metrics.

Main Results:

  • Post-implementation, patients showed significantly fewer emergency department visits (15.5% vs 13.1%, P=.002) and sick visits (29.3% vs 24.3%, P<.001).
  • Hospitalization rates slightly decreased (2.5% vs 2.0%, P=.120) but did not reach statistical significance.
  • Well-child visit rates remained stable between the two cohorts (P=.981).

Conclusions:

  • A universal social needs screening program is associated with improved pediatric healthcare utilization patterns.
  • The findings suggest that addressing social needs can lead to more efficient use of healthcare resources in pediatric primary care.
  • This study supports the integration of social needs screening into routine pediatric care to enhance patient outcomes.