Devan Jaganath1, Karl Johnson2, Megan M Tschudy2, Kristin Topel3, Brian Stackhouse4, Barry S Solomon2. 1. Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD; Division of Pediatric Infectious Diseases, Department of Pediatrics, University of California San Francisco School of Medicine, San Francisco, CA. Electronic address: devan.jaganath@ucsf.edu. 2. Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD. 3. Health Leads, Baltimore, MD. 4. Biostatistics, Epidemiology and Data Management (BEAD) Core, Center for Child and Community Health Research, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Abstract
OBJECTIVES: To determine the desirability of integrating financial services in pediatric primary care among caregivers and older adolescents. STUDY DESIGN: We conducted a cross-sectional study among caregivers and late adolescents 18 years and older attending an urban, pediatric primary care clinic. RESULTS: The 221 participants had a mean age of 32.1 years, with 28% of the sample aged 18-25 years. The majority were African American (90.1%), female (83.3%), and single parents (55.1%). More than one-third of the participants (35.8%) reported no household earned income, and 26.7% had a yearly household total income of <$12,000. More than one-half (61.5%) reported financial stress in general, and 67.9% believed that the clinic should provide financial services, including financial education and job workshops. A greater proportion of those who desired clinic-based services were African American (94.7% vs 75%; P < .001) and had a low or middle subjective social status (95.7% vs 83.7%; P = .01). CONCLUSIONS: Clinic-based financial services are desired by caregivers and late adolescents in an urban pediatric primary care practice. Prospective studies are needed to assess the long-term impact of integrated services on childhood poverty and family well-being.
OBJECTIVES: To determine the desirability of integrating financial services in pediatric primary care among caregivers and older adolescents. STUDY DESIGN: We conducted a cross-sectional study among caregivers and late adolescents 18 years and older attending an urban, pediatric primary care clinic. RESULTS: The 221 participants had a mean age of 32.1 years, with 28% of the sample aged 18-25 years. The majority were African American (90.1%), female (83.3%), and single parents (55.1%). More than one-third of the participants (35.8%) reported no household earned income, and 26.7% had a yearly household total income of <$12,000. More than one-half (61.5%) reported financial stress in general, and 67.9% believed that the clinic should provide financial services, including financial education and job workshops. A greater proportion of those who desired clinic-based services were African American (94.7% vs 75%; P < .001) and had a low or middle subjective social status (95.7% vs 83.7%; P = .01). CONCLUSIONS: Clinic-based financial services are desired by caregivers and late adolescents in an urban pediatric primary care practice. Prospective studies are needed to assess the long-term impact of integrated services on childhood poverty and family well-being.
Authors: Orly N Bell; Michael K Hole; Karl Johnson; Lucy E Marcil; Barry S Solomon; Adam Schickedanz Journal: Acad Pediatr Date: 2019-10-13 Impact factor: 3.107
Authors: Patrick Y Liu; Orly Bell; Olivia Wu; Monique Holguin; Christina Lozano; Erika Jasper; Erin Saleeby; Lynne Smith; Peter Szilagyi; Adam Schickedanz Journal: J Prim Care Community Health Date: 2021 Jan-Dec