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首页> 外文期刊>Journal of health care for the poor and underserved >Successes, Challenges, and Considerations for Integrating Referral into Food Insecurity Screening in Pediatric Settings
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Successes, Challenges, and Considerations for Integrating Referral into Food Insecurity Screening in Pediatric Settings

机译：将转诊纳入儿科环境中的粮食不安全筛查的成功，挑战和考虑因素

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摘要

Food insecurity, lack of access to enough food for an active and healthy life, is associated with poor child health. Three pediatric clinics implemented a two-question food insecurity screening of 7,284 families with children younger than five years. Over one thousand (1,133, 15.6%) reported food insecurity and 630 (55.6%) were referred to a benefits access organization for connection to public benefits and community resources. This study evaluated the efficacy of screening and referral through process evaluation, key informant interviews, and focus groups with 19 caregivers and 11 clinic staff. Using grounded theory, transcript themes were coded into facilitators and barriers of screening and referral. Facilitators included trust between caregivers and staff, choice of screening methods, and assistance navigating benefits application. Barriers included complex administration of referral, privacy and stigma concerns, and caregivers' current benefit enrollment or ineligibility. Results demonstrate importance of integrated screening and referral consent processes, strong communication, and convenient outreach for families.
机译：粮食不安全，缺乏对积极健康的生活的足够食物，与儿童健康状况不佳有关。三个儿科诊所实施了7,284个家庭的双重粮食不安全筛查，儿童年轻超过五年。超过一千（1,133,15.6％）报告的粮食不安全和630（55.6％）被提交给与公共利益和社区资源有关的福利访问组织。本研究评估了通过19个护理人员和11名诊所工作人员的过程评估，重点线商访谈和焦点小组的筛选和转诊的功效。使用接地理论，转录主题被编码为促进者和筛查和转诊的障碍。协调人包括在照顾者和工作人员之间的信任，选择筛选方法，以及援助导航福利申请。障碍包括复杂的转介，隐私和耻辱问题，以及护理人员的当前福利入学或不可感知。结果表明，综合筛选和转介同意过程，强大的沟通，方便的家庭外展的重要性。

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