Community Resource Needs Assessment Among Families Presenting to a Pediatric Emergency Department

被引:16
|
作者
Semple-Hess, Janet E. [1 ,2 ]
Pham, Phung K. [1 ,3 ]
Cohen, Samuel A. [4 ]
Liberman, Danica B. [1 ,2 ]
机构
[1] Childrens Hosp Los Angeles, Div Emergency & Transport Med, 4650 Sunset Blvd,Mailstop 113, Los Angeles, CA 90027 USA
[2] Univ Southern Calif, Keck Sch Med, Dept Pediat, Los Angeles, CA 90033 USA
[3] Claremont Grad Univ, Claremont Coll, Div Behav & Org Sci, Claremont, CA USA
[4] Univ Southern Calif, Keck Sch Med, Dept Prevent Med, Los Angeles, CA 90033 USA
关键词
community resource needs; pediatric emergency medicine; social determinants of health; social needs screening; LIMITED ENGLISH PROFICIENCY; UNMET SOCIAL NEEDS; HEALTH-CARE; DISPARITIES; INSECURITY; OUTCOMES; POVERTY; INCOME; HOME;
D O I
10.1016/j.acap.2018.11.009
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVE: To identify community resource needs among families presenting to a pediatric emergency department (PED). METHODS: A convenience sample of English- and Spanish-speaking caregivers residing in Los Angeles County who presented to the PED of a large urban children's hospital were surveyed. The needs assessment survey assessed demographics, food insecurity, and previous and anticipated need for 12 common community resources. RESULTS: Of 768 caregivers who completed the survey, 75% identified as Hispanic/Latinx. Across all survey participants, 83% used at least 1 resource in the past, and 67% anticipated needing at least 1 resource in the next 12 months. Low-cost/free health clinics were the most common resources used in the past and needed for the future. Caregivers with younger children tended to need baby formula/breastfeeding and women's health resources, whereas caregivers with older children tended to need safe housing, subsidized utilities, and counseling/therapy. Many families who needed resources in the past and for the future resided south of the children's hospital where median household income was relatively lower than in other areas of the county. A pattern of heightened use emerged among caregivers who primarily spoke Spanish. On average, caregivers reported feeling comfortable approaching hospital staff about community resources. CONCLUSIONS: We found significant needs for community resources among families who presented to an urban PED. Needs were particularly salient among Spanish-speaking families and families living in close proximity to the children's hospital. Findings from this study help to inform future work connecting families to community resources.
引用
收藏
页码:378 / 385
页数:8
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