Jeffrey D Colvin1, Jessica L Bettenhausen2, Kaston D Anderson-Carpenter3, Vicki Collie-Akers4, Paul J Chung5. 1. Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Mo; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, Mo. Electronic address: jdcolvin@cmh.edu. 2. Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Mo; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, Mo. 3. Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Calif. 4. Work Group for Community Health and Development, University of Kansas, Lawrence, KS. 5. Departments of Pediatrics and Health Policy & Management, University of California, Los Angeles, Calif; Children's Discovery & Innovation Institute, Mattel Children's Hospital UCLA, Los Angeles, Calif; RAND Health, The RAND Corporation, Santa Monica, Calif.
Abstract
OBJECTIVE: Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to screening for needs by pediatric residents, and socioeconomic status (SES). METHODS: Cross-sectional survey study of caregivers of hospitalized children. The survey collected information on caregiver opinion regarding their ability to ask physicians for help with social needs, whether physicians know how to help with those needs, and whether physicians should ask about social needs. The chi square test was used to identify associations between caregiver opinions, prior screening by a resident at admission, and SES (determined by census tract median household income). RESULTS: Surveys were completed by 143 caregivers (79% participation). Most respondents agreed that they could ask their physician for help (54.5%), that their physician knows how to help (64.3%), and that physicians should ask about social needs (71.3%). Previously screened caregivers had more favorable opinions about asking for help (76.2% vs 45.5%, P < .01), whether their physician knows how to help (81.0% vs 57.4%, P = .02), and physician screening for unmet needs (85.7% vs 65.3%, P = .03). There were no SES differences in opinion. CONCLUSIONS: Caregivers have favorable opinions of the physician's role in addressing the social determinants of health, especially after being screened. Physicians should be confident in the acceptability of screening families for social needs.
OBJECTIVE:Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to screening for needs by pediatric residents, and socioeconomic status (SES). METHODS: Cross-sectional survey study of caregivers of hospitalized children. The survey collected information on caregiver opinion regarding their ability to ask physicians for help with social needs, whether physicians know how to help with those needs, and whether physicians should ask about social needs. The chi square test was used to identify associations between caregiver opinions, prior screening by a resident at admission, and SES (determined by census tract median household income). RESULTS: Surveys were completed by 143 caregivers (79% participation). Most respondents agreed that they could ask their physician for help (54.5%), that their physician knows how to help (64.3%), and that physicians should ask about social needs (71.3%). Previously screened caregivers had more favorable opinions about asking for help (76.2% vs 45.5%, P < .01), whether their physician knows how to help (81.0% vs 57.4%, P = .02), and physician screening for unmet needs (85.7% vs 65.3%, P = .03). There were no SES differences in opinion. CONCLUSIONS: Caregivers have favorable opinions of the physician's role in addressing the social determinants of health, especially after being screened. Physicians should be confident in the acceptability of screening families for social needs.
Authors: N Krieger; J T Chen; P D Waterman; M-J Soobader; S V Subramanian; R Carson Journal: J Epidemiol Community Health Date: 2003-03 Impact factor: 3.710
Authors: Arvin Garg; Arlene M Butz; Paul H Dworkin; Rooti A Lewis; Richard E Thompson; Janet R Serwint Journal: Pediatrics Date: 2007-09 Impact factor: 7.124
Authors: Andrew F Beck; Alicia J Cohen; Jeffrey D Colvin; Caroline M Fichtenberg; Eric W Fleegler; Arvin Garg; Laura M Gottlieb; Matthew S Pantell; Megan T Sandel; Adam Schickedanz; Robert S Kahn Journal: Pediatr Res Date: 2018-05-23 Impact factor: 3.756
Authors: Jennifer A Makelarski; Emily Abramsohn; Jasmine H Benjamin; Senxi Du; Stacy Tessler Lindau Journal: Am J Public Health Date: 2017-09-21 Impact factor: 9.308
Authors: Steven D Langerman; Gia M Badolato; Alexandra Rucker; Lenore Jarvis; Shilpa J Patel; Monika K Goyal Journal: J Adolesc Health Date: 2019-07-31 Impact factor: 5.012
Authors: Elena Byhoff; Emilia H De Marchis; Danielle Hessler; Caroline Fichtenberg; Nancy Adler; Alicia J Cohen; Kelly M Doran; Stephanie Ettinger de Cuba; Eric W Fleegler; Nicholas Gavin; Amy G Huebschmann; Stacy Tessler Lindau; Elizabeth L Tung; Maria Raven; Susan Jepson; Wendy Johnson; Ardis L Olson; Megan Sandel; Richard S Sheward; Laura M Gottlieb Journal: Am J Prev Med Date: 2019-12 Impact factor: 5.043
Authors: Artair J Rogers; Courtnee Hamity; Adam L Sharp; Ana H Jackson; Adam B Schickedanz Journal: J Gen Intern Med Date: 2020-01-02 Impact factor: 5.128
Authors: Jana C Leary; Leena Rijhwani; Natalie M Bettez; Amy M LeClair; Anays Murillo; Maria Rodriguez Berrios; Arvin Garg; Karen M Freund Journal: Acad Pediatr Date: 2021-09-30 Impact factor: 3.107
Authors: Emilia H De Marchis; Danielle Hessler; Caroline Fichtenberg; Nancy Adler; Elena Byhoff; Alicia J Cohen; Kelly M Doran; Stephanie Ettinger de Cuba; Eric W Fleegler; Cara C Lewis; Stacy Tessler Lindau; Elizabeth L Tung; Amy G Huebschmann; Aric A Prather; Maria Raven; Nicholas Gavin; Susan Jepson; Wendy Johnson; Eduardo Ochoa; Ardis L Olson; Megan Sandel; Richard S Sheward; Laura M Gottlieb Journal: Am J Prev Med Date: 2019-12 Impact factor: 5.043