- ConclusionsAddressing families’ social needs through resource linkage and navigation can improve well-child visit attendance.
Abstract
Background and Objectives
Evidence for social needs interventions on resource linkage has grown over the past
decade. Though social and economic needs predict healthcare utilization, few studies
have assessed social needs interventions on these outcomes. The objective of this
study was to examine the association between enrollment in a clinic-based social needs
program on subsequent well child visit (WCV) attendance and emergency department (ED)
use in two primary care clinics.
Methods
A retrospective cohort study was conducted of patients in two clinics referred to
a social risk screening and navigation program between June-August 2018. We compared
healthcare utilization over the subsequent 12 months for those who completed a full
intake and received resource navigation (enrolled) to those referred (not enrolled).
Logistic regression was used to assess the association between enrollment with WCV
attendance and ED visits.
Results
During the study period, of the 969 patients referred to the program, 761 were enrolled
across the two clinics. At both sites, the majority of enrolled patients had high
WCV attendance post intervention, (Site A: 81.6%, Site B: 71.4%). High WCV attendance
for non-enrolled but referred patients was significantly lower (Site A: 52.7%, Site
B: 35.0%). Enrolled participants were significantly more likely to have high WCV attendance
than non-enrolled patients, adjusting for pre-intervention utilization (Site A aOR:
5.83, Site B aOR: 4.20). There were no significant differences in emergency department
use at either clinic.
Keywords
Abbreviations:
WCV ((well-child visits)), ED ((emergency department)), SDOH ((social determinants of health))To read this article in full you will need to make a payment
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Article Info
Publication History
Accepted:
May 12,
2022
Received:
December 21,
2021
Publication stage
In Press Journal Pre-ProofFootnotes
Article Summary: This study examines the association between enrollment in a social needs navigation program and subsequent well-child and emergency department utilization.
What's known on the subject: Social and economic needs are significant predictors of healthcare utilization, and multiple studies have shown that identifying social needs in primary care can improve linkage to community resources.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
