Journal
CLINICAL PEDIATRICS
Volume 48, Issue 1, Pages 32-36Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0009922808320602
Keywords
low income; basic needs; medical home; pediatrician
Categories
Funding
- Commonwealth Fund (New York) [20060351]
- Health Resources and Services Administration [T32HP10004]
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The goals of this cross-sectional study were to (a) describe the prevalence of 5 basic social needs in a cohort of parents attending an urban teaching hospital-based pediatric clinic, (b) assess parental attitudes toward seeking assistance from their child's provider, and (c) examine resident providers' attitudes and behaviors toward addressing these needs. Parents (n = 100) reported a median of 2 basic needs at the pediatric visit. The most common was employment (52%), followed by education (34%), child care 19%), food (16%), and h(;using (10%). Most parents (67%) had positive attitudes toward requesting assistance from their child's pediatrician. The majority of resident providers (91%) believed in the importance of addressing social needs; however, few reported routinely screening for these needs (range, 11% to 18%). There is great potential for assisting low-income parents within the medical home. Further practice-based interventions are needed to enhance providers' self-efficacy to screen and address low-income families' needs at pediatric visits.
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