Introduction

Using pediatric social determinants of health screening data from a large medical system, we explored social needs dislosures and identified which needs were associated with resource connection requests.

Method

Data came from records of outpatient pediatric patients (0–18 years) seen between October 2018 and March 2020 (39,251 encounters). We assessed percent of encounters where families (1) indicated a social need, and (2) requested a resource connection. We conducted multivariable logistic regression to identify which needs were associated with resource connection requests.

Results

Among all encounters, 8% indicated a need and 2% requested a resource connection. Among families indicating a need, needs associated with resource requests included: housing (odds ratio [OR], 3.49 [2.42–5.03]), employment (OR, 3.15 [2.21–4.50]), food (OR, 1.89 [1.41–2.52]), and transportation (OR, 1.82 [1.30–2.56]).

Discussion

Families seldom requested resource connections to address social needs. Better understanding families’ interests in receiving assistance is an important next step in pediatric social determinants of health screening system development.

中文翻译：

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当家庭不请求帮助时：在实践中评估健康筛查工具的社会决定因素

 介绍

利用来自大型医疗系统的儿科健康筛查数据的社会决定因素，我们探索了社会需求披露，并确定了哪些需求与资源连接请求相关。

 方法

数据来自 2018 年 10 月至 2020 年 3 月期间门诊儿科患者（0-18 岁）的记录（39,251 次）。我们评估了家庭 (1) 表示社交需求和 (2) 请求资源连接的遭遇百分比。我们进行了多变量逻辑回归来确定哪些需求与资源连接请求相关。

 结果

在所有遭遇中，8% 表示需要，2% 请求资源连接。在表示有需求的家庭中，与资源请求相关的需求包括：住房（比值比[OR]，3.49 [2.42–5.03]）、就业（OR，3.15 [2.21–4.50]）、食物（OR，1.89 [1.41–2.52] ]）和交通（OR，1.82 [1.30–2.56]）。

 讨论

家庭很少要求资源联系来满足社会需求。更好地了解家庭对接受援助的兴趣是健康筛查系统发展的儿科社会决定因素的重要下一步。