000			03312nam a22004337a 4500
003			OSt
005			20260504175142.0
007			a
008			260504b |||||||| |||| 00| 0 eng d
040			_cFoundation University
050			_aRA 421 _b.F35
100			_aBernardin, Mary E. MD _eauthor. _915947
245	0	0	_aSocial determinants of health screening and remote intervention for a pediatric emergency department/ _c Mary E. Bernardin MD; Danielle Zoellner, MPH NRP; Destri Eichaman, BA;Bin MD MA; Isabella McCarney, BHS; Castro, Mariana Mendoza Castro; Elizabeth Kendrick, BA, NRP; Janisha Eubanks ; Megan EuDaly,PA-C,CAQ-EM; Julie Stilley, PhD; Alexandra James, MD MPH; Jennae Reken, DO
264			_42025
300			_3Index _apages 259-266; _billustration _fpages
336			_atext _btxt
337			_aunmediated _bn
338			_2rdacarrier _3index _avolume _bnc
490			_aNursing Index
520			_aBernardin 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.
650			_aHealth disparities _915948
650			_a rural community health _915949
650			_asocial determinants of health _915950
650			_a social needs _915951
658			_aNursing Index
700			_aZoellner, Danielle, MPH NRP _eauthor. _915952
700			_aEichaman, Destri, BA;Bin MD MA; _eauthor. _915953
700			_aMcCarney,Isabella, BHS _eauthor. _915954
700			_aCastro, Mariana Mendoza _eauthor. _915955
700			_aKendrick, Elizabeth BA, NRP _eauthor. _915956
700			_aEubanks, Janisha _eauthor. _915957
700			_aEuDaly, Megan, PA-C,CAQ-EM _eauthor. _915958
700			_aStilley Julie, PhD _eauthor. _915959
700			_aJames, Alexandra, MD MPH _eauthor. _915960
700			_aReken, Jennae, DO _eauthor. _915961
700			_aBura-ay, Ivy Mae _eIndexer _915962
856			_uhttps://docs.google.com/document/d/1hHVztFkY1pepfNyo8ajxCrPAI7mIiNRjFAbRjJpwaUc/edit?tab=t.0 _yaccess online
942			_2lcc _cINDEX _hRA 421 _i.F35 _k(CON-P) _n0
999			_c5898 _d5898