Bernardin et al. conducted a prospective cohort study in a rural pediatric emergency department to evaluate the implementation of social determinants of health (SDOH) screening and a post-visit remote intervention program. Caregivers of pediatric patients were screened across 11 SDOH domains, including food insecurity, housing instability, and access to transportation.
Out of all participants, 42% screened positive for at least one social need, with food insecurity being the most prevalent. Among those with identified needs, 40% requested assistance when contacted after discharge. Of those who accepted help, 75% were successfully connected to community resources through remote follow-up (e.g., phone-based support).
Statistical analysis showed that caregiver unemployment and Medicaid insurance were significantly associated with higher likelihood of SDOH needs. Conversely, families residing in rural areas were less likely to request assistance, suggesting potential barriers such as stigma, access, or resource awareness.
The study demonstrates that ED-based SDOH screening combined with remote intervention is feasible and moderately effective, particularly for identifying unmet needs and linking families to support services. However, it highlights gaps in engagement among rural populations and calls for further research on improving uptake and long-term health outcomes.