Forging a Pediatric Primary Care-Community Partnership to Support Food-Insecure Families
Forging a Pediatric Primary Care-Community Partnership to Support Food-Insecure Families
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DOI：
10.1542/peds.2013-3845
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发表时间：
2014-08-01
期刊：
影响因子：
8
通讯作者：
Klein, Melissa D.
中科院分区：
文献类型：
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作者：
Beck, Andrew F.;Henize, Adrienne W.;Klein, Melissa D.
学术初级保健诊所经常照顾受粮食不安全影响的服务不足人群的儿童。临床与社区的合作可以帮助减轻这种风险。我们试图设计，实施，完善，并评估保持婴儿营养和发展（KIND），合作干预的重点是粮食不安全的家庭与infants.METHODS：儿科医生和社区合作者共同开发的过程，以联系粮食不安全的家庭与婴儿补充婴儿配方奶粉，教育材料，诊所和社区资源。通过使用时间序列分析和描述性统计来描述和列举KIND在前2年内提供的服务，进行前瞻性干预评估。分析评估了人口统计学，临床和社会风险结果，包括完成预防服务和转介到社会工作或我们的医疗法律合作伙伴关系。结果：在2年的研究期间，1042个家庭的婴儿接受了KIND。接受者比未接受者更有可能完成铅测试和发育筛查（均P < .001），并且他们更有可能在14个月内接受全套健康婴儿访视（42.0% vs 28.7%; P < .0001）。那些接受KIND的人也更有可能被转介到社会工作（29.2%对17.6%; P < .0001）或医疗法律合作伙伴关系（14.8%对5.7%; P < .0001）。在9个月的体重长度没有统计学差异groups.CONCLUSIONS：临床社区协作使儿科供应商解决有影响力的社会健康决定因素。这种以食物不安全为重点的干预措施与改善所服务婴儿的预防保健结果有关。
BACKGROUND AND OBJECTIVES: Academic primary care clinics often care for children from underserved populations affected by food insecurity. Clinical-community collaborations could help mitigate such risk. We sought to design, implement, refine, and evaluate Keeping Infants Nourished and Developing (KIND), a collaborative intervention focused on food-insecure families with infants.METHODS: Pediatricians and community collaborators codeveloped processes to link food-insecure families with infants to supplementary infant formula, educational materials, and clinic and community resources. Intervention evaluation was done prospectively by using time-series analysis and descriptive statistics to characterize and enumerate those served by KIND during its first 2 years. Analyses assessed demographic, clinical, and social risk outcomes, including completion of preventive services and referral to social work or our medical-legal partnership. Comparisons were made between those receiving and not receiving KIND by using chi(2) statistics.RESULTS: During the 2-year study period, 1042 families with infants received KIND. Recipients were more likely than nonrecipients to have completed a lead test and developmental screen (both P < .001), and they were more likely to have received a full set of well-infant visits by 14 months (42.0% vs 28.7%; P < .0001). Those receiving KIND also were significantly more likely to have been referred to social work (29.2% vs 17.6%; P < .0001) or the medical-legal partnership (14.8% vs 5.7%; P < .0001). Weight-for-length at 9 months did not statistically differ between groups.CONCLUSIONS: A clinical-community collaborative enabled pediatric providers to address influential social determinants of health. This food insecurity-focused intervention was associated with improved preventive care outcomes for the infants served.