Approaches to Addressing Social Determinants of Health in the NICU: a Mixed Methods Study
Sponsor
This work was supported by the National Institute of Minority Health and Health Disparities (R01MD007793; PI Garg).
Published In
Journal of Perinatology : Official Journal of the California Perinatal Association
Document Type
Citation
Publication Date
10-30-2020
Abstract
Objective: Examine current approaches to addressing social determinants of health (SDOH) in the NICU and perceived appropriateness of a standardized screening and referral process.
Study design: We performed a mixed methods study in two Massachusetts safety-net NICUs. We examined rates that unmet basic needs were assessed and identified among 601 families. We conducted focus groups with NICU staff to understand current methods to assess unmet basic needs and perceived appropriateness of a standardized SDOH screening and referral process.
Result: Except employment (89%), other unmet basic needs were infrequently assessed (housing 38%, food/hunger 7%, childcare 3%, transportation 3%, utilities 0.2%). Staff believed: (1) processes to assess SDOH were not standardized and inconsistently performed/documented; (2) addressing SDOH was important; and (3) using a standardized screening and referral process would be feasible.
Conclusions: Current NICU assessment of SDOH is limited and use of a standardized screening and referral process could be useful.
Rights
© 2020 Springer Nature
Locate the Document
DOI
10.1038/s41372-020-00867-w
Persistent Identifier
https://archives.pdx.edu/ds/psu/34471
Citation Details
Parker, M. G., Garg, A., Brochier, A., Rhein, L. M., Forbes, E. S., Klawetter, S., & Drainoni, M.-L. (2020). Approaches to addressing social determinants of health in the NICU: a mixed methods study. Journal of Perinatology. https://doi.org/10.1038/s41372-020-00867-w