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J Pediatr Health Care ; 35(6): 577-586, 2021.
Article in English | MEDLINE | ID: covidwho-1401770

ABSTRACT

INTRODUCTION: Pediatric settings often screen children and/or caregivers for social determinants of health (SDH) needs. Although SDH awareness rose with COVID, questions remain regarding best practices for SDH screening in pediatric settings. METHOD: We assessed pediatric providers' perspectives on integrating SDH screening into patient care. Semistructured interviews were conducted with providers (n = 13) from 10 clinics. Interviews were transcribed, and themes were analyzed using the constant comparative method. RESULTS: Themes highlighted providers' awareness of structural limitations to address social needs identified by screening; implementation concerns; the unique role of pediatric providers for child health and well-being; provider comfort with assessing patients' social needs; patient considerations; the importance of relational health between pediatric providers and families, and between providers and community supports for effective screening; and unintended consequences. DISCUSSION: Pediatric providers endorse the need for SDH screening, but barriers in pediatric settings may hamper the process and reduce efficacy.


Subject(s)
COVID-19 , Social Determinants of Health , Child , Humans , Mass Screening , Qualitative Research , SARS-CoV-2
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