Resident Documentation of Social Determinants of Health: Effects of a Teaching Tool in the Outpatient Setting

Milani Patel, Eleanor Bathory, Jenna Scholnick, Tanya White-Davis, Jaeun Choi, Sandra Braganza

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Social determinants of health (SDH) significantly affect the health of children and thus, screening is important in pediatric primary care. We assessed the use of a formal social history taking tool after a 2-phase intervention. The first phase (P1) was a teaching module describing SDH and community resources and the second phase (P2) consisted of visual reminders to use the tool. Patient charts (n = 322) were reviewed pre- and postintervention. Residents had higher documentation rates of Women, Infants, and Children (WIC) program use and housing subsidies at post-P1 and at post-P(1 + 2) (WIC, P =.01 and P =.03, respectively; housing, P =.02 and P =.04, respectively), and higher documentation rates of food stamp utilization at post-P(1 + 2) (P =.04), as compared with baseline. Implementation of a simple teaching tool in the outpatient setting enabled residents to document income benefits and housing. Further studies should be done to evaluate effective teaching methods to elicit other important SDH.

Original languageEnglish (US)
Pages (from-to)451-456
Number of pages6
JournalClinical Pediatrics
Volume57
Issue number4
DOIs
StatePublished - Apr 1 2018

Keywords

  • medical education
  • social determinants of health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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