Feasibility of systematic poverty screening in a pediatric oncology referral center.
Feasibility of systematic poverty screening in a pediatric oncology referral center.
复制标题
DOI：
10.1002/pbc.27380
复制
发表时间：
2018-12
影响因子：
3.2
通讯作者：
Bona K
中科院分区：
文献类型：
--
作者：
Zheng DJ;Shyr D;Ma C;Muriel AC;Wolfe J;Bona K
基于贫困与儿童健康结果之间的密切联系，AAP和国家儿科肿瘤协会都倡导常规临床贫困筛查。在儿科肿瘤学中系统地实施这一建议尚未成为标准，需要可行性数据。我们报告的可行性，常规贫困筛查在儿科肿瘤转诊中心和基线贫困人口的特点。从2013年到2017年，Dana-Farber/波士顿儿童癌症和血液疾病中心的448个新诊断的儿科癌症家庭获得了心理社会评估工具2.0（PAT）作为常规护理的一部分。家庭援助计划包括一个家庭物质困难的两项筛选。所有家庭都被一位资源专家询问了家庭年收入。数据提取与社会人口学和儿童/疾病特征。报告描述性统计量。413个家庭完成了PAT（应答率92%），其中394个（95%）完成了HMH评估的特定问题。94%与资源专家会面的家庭透露了他们的家庭年收入。四分之一（27%）的家庭在诊断时≤200%的联邦贫困水平（FPL），44%的家庭支持至少一个HMH领域。HMH最常见的领域包括住房（24%），公用事业（20%）和交通（20%）。在常规癌症护理中，根据AAP和儿科肿瘤心理社会护理标准进行系统的贫困筛查是可行的。在新诊断的儿童癌症家族中，至少一个领域的HMH基线发生率较高（44%），这些家族可能受益于早期识别和资源干预。
Based on the strong link between poverty and child health outcomes, both the AAP and national pediatric oncology associations have advocated for routine clinical poverty screening. Systematic implementation of this recommendation in pediatric oncology is not yet standard, and feasibility data are needed. We report the feasibility of routine poverty screening in a pediatric oncology referral center and baseline poverty characteristics of this population. From 2013–2017, 448 newly diagnosed pediatric cancer families at Dana-Farber/Boston Children’s Cancer and Blood Disorders Center were offered the Psychosocial Assessment Tool 2.0 (PAT) as part of routine care. The PAT includes a two-item screen for household material hardship (HMH). All families were asked about annual household income by a Resource Specialist. Data were abstracted with sociodemographic and child/disease characteristics. Descriptive statistics are reported. 413 families completed the PAT (response rate 92%), of whom 394 (95%) completed specific questions assessing for HMH. Ninety-four percent of families who met with a Resource Specialist disclosed their annual household income. One quarter (27%) of families were ≤200% Federal Poverty Level (FPL) at diagnosis, and 44% of families endorsed at least one domain of HMH. The most frequent domains of HMH included housing (24%), utilities (20%), and transportation (20%). Systematic poverty screening per AAP and pediatric oncology psychosocial standards of care is feasible in routine cancer care. There is a high baseline incidence (44%) of HMH in at least one domain in newly diagnosed pediatric cancer families who may benefit from early identification and resource intervention.
登录
查看更多内容
影响因子：
2.2
作者：
Jones, Barbara;Currin-Mcculloch, Jennifer;Wiener, Lori
通讯作者：
Wiener, Lori
影响因子：
4.6
作者：
Gershoff, Elizabeth T.;Aber, J. Lawrence;Lennon, Mary Clare
通讯作者：
Lennon, Mary Clare
影响因子：
1.6
作者：
Garg, Arvin;Marino, Mark;Solomon, Barry S.
通讯作者：
Solomon, Barry S.
影响因子：
8
作者：
Garg, Arvin;Butz, Arlene M.;Serwint, Janet R.
通讯作者：
Serwint, Janet R.
影响因子：
4.7
作者：
Bona, Kira;Dussel, Veronica;Wolfe, Joanne
通讯作者：
Wolfe, Joanne