Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2024-09-07 DOI:10.1038/s41372-024-02096-x

Caitlin Hoffman, Melissa Harris, Krishna Acharya, Margaret Malnory, Susan Cohen, Joanne Lagatta

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Abstract

Objective: To determine whether screening for social determinants of health (SDoH) in a level IV neonatal intensive care unit (NICU) could uncover additional family needs.

Methods: Secondary analysis of a prospective study in a level IV NICU. Participants filled out the Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences (PRAPARE) tool, which includes economic, housing, transportation, and safety questions. Questionnaires were completed via secure tablet; the research team notified social workers of reported needs. Illness and demographic characteristics were compared between families who did and did not report resource needs. Manual chart review assessed subsequent response to reported SDoH needs.

Results: Of 319 respondents, 61(19%) reported resource needs. Of 61 families, 88% received repeat social work encounters to re-assess for resources; 59% received new resource referrals.

Conclusions: Systematic SDoH screening can identify needs throughout the NICU stay, even among families already connected to social work support.

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在四级新生儿重症监护病房对健康的社会决定因素进行系统筛查的影响。

目的确定在四级新生儿重症监护病房（NICU）中对健康的社会决定因素（SDoH）进行筛查是否能发现额外的家庭需求：方法：对四级新生儿重症监护病房的一项前瞻性研究进行二次分析。参与者填写了《患者资产、风险和经历应对与评估协议》（PRAPARE）工具，其中包括经济、住房、交通和安全问题。问卷通过安全平板电脑完成；研究小组会将报告的需求通知社工。对报告和未报告资源需求的家庭的疾病和人口特征进行了比较。人工病历审查评估了对所报告的 SDoH 需求的后续响应：在 319 个受访者中，61 个（19%）报告了资源需求。在这 61 个家庭中，88% 的家庭接受了社工的重复接触，以重新评估资源；59% 的家庭接受了新的资源转介：结论：系统的 SDoH 筛查可以确定新生儿重症监护病房整个住院期间的需求，即使是已经获得社工支持的家庭也不例外。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.