Stakeholders’ Perspectives on the Current Status of Partnerships between the Food Banking and Healthcare Systems to Address Food Insecurity in the U.S.

Gurganus, Eminet Abebe; Marfo, Nana Yaa A.; Schwartz, Marlene B.; Stowers, Kristen Cooksey

doi:10.3390/nu13124502

Cited by 5 publications

(3 citation statements)

References 24 publications

(25 reference statements)

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“…A recent systematic review and meta-analysis ( 5 ) demonstrated a positive effect of food prescription programs on health outcomes and the desire of clinic staff to continue these programs. As seen in our study, future sustainability efforts need to consider reimbursement for these programs by health insurance companies ( 8 ).…”

Section: Discussionmentioning

confidence: 95%

Perspectives of Health Care Staff on Predictors of Success in a Food Prescription Program: A Qualitative Study

et al. 2023

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Partnerships between food prescription programs and food banks can address food insecurity and support health; however, few studies have examined the experience and perceptions of health care partners about these programs. Our objective was to analyze secondary qualitative data from clinicians and clinic staff involved in implementing a food prescription program in Houston, Texas. We collected data from 17 health care clinics from May 2018 through March 2021 to learn how implementation of the food prescription program was perceived, and we received 252 responses. Principal themes were the importance of a value-based care strategy, patient and food pantry barriers to success, the importance of interorganizational care coordination, and the need to integrate food prescriptions into clinic workflow. Insights of clinicians and clinic staff on implementation of food prescription programs can inform program development and dissemination.

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Section: Discussionmentioning

confidence: 95%

Perspectives of Health Care Staff on Predictors of Success in a Food Prescription Program: A Qualitative Study

et al. 2023

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“…The Duke Health SSP program used a health system subsidiary as the backbone organization; other pilots have utilized a neutral convener [ 32 ]. Additional research is needed to identify the optimal choice for a backbone organization [ 31 ]. Other frameworks, such as those developed by the BUILD Health Challenge, [ 27 , 34 ] Robert Wood Johnson Foundation’s Aligning Systems for Health, [ 35 ] Data Across Sectors for Health, [ 36 ] and HealthBegins, [ 37 ] could also provide value for understanding how to measure direct communication and the impact of communication on CBO and health care partnership success.…”

Section: Discussionmentioning

confidence: 99%

Community-based organizations’ perspectives on piloting health and social care integration in North Carolina

Nohria,

Yu,

et al. 2023

BMC Public Health

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Background Community-based organizations (CBOs) are key players in health and social care integration initiatives, yet little is known about CBO perspectives and experiences in these pilot programs. Understanding CBO perspectives is vital to identifying best practices for successful medical and social care integration. Methods From February 2021 to March 2021, we conducted surveys with 12 CBOs that participated in the North Carolina COVID-19 Social Support Program, a pre-pilot for North Carolina’s Medicaid Sect. 1115 demonstration waiver program that addresses social drivers of health. Results CBO participants preferred communication strategies that involved direct communication and felt clear communication was vital to the program’s success. Participants expressed varied experiences regarding their ability to handle a changing volume of referrals. Participants identified their organizations’ strengths as: strong organizational operations, past experiences with and understanding of the community, and coordination across organizations. Participants identified challenges as: difficulty communicating with clients, coping with capacity demands for scaling services, and lack of clear processes from external organizations. Almost all CBO participants expressed enthusiasm for participating in similar social care transformation programs in the future. Conclusions CBO participants in our study had broadly positive experiences in the pilot program and almost all would participate in a similar program in the future. Participants provided perspectives that can inform health and social care integration initiatives, including strengths and challenges in such programs. To build and sustain health and social care integration programs, it is important to: (1) support CBOs through regular, direct communication that builds trust and power-sharing between CBO and health care entities; (2) leverage CBO community expertise; and (3) pursue an individualized assessment of CBO capacity and identify CBO capacity-building strategies that ensure program success and sustainability.

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“…In the United States, collaborative arrangements between food banks and health care providers are becoming more prevalent. Te nature of the collaboration is about triage and support clients experiencing health needs [35]. Tis partnership model may ofer a way forward in the Australian context.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Food Insecurity and Service Delivery amongst Emergency Food Relief Clients in a Regional City in Victoria, Australia

Kleve

Greenslade

Farrington

et al. 2023

Health & Social Care in the Community

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This cross-sectional study examined the experiences of people accessing Emergency Food Relief (EFR) in the regional city of Ballarat, Victoria, Australia, including determinants, impacts of food insecurity, and service delivery recommendations. The forty-one item survey examined demographics, food security status (six-item adult US-Household Food Security Survey Module), food acquisition, use of charitable food services, and self-rated health. Adults n = 100 accessing meal programs and/or EFR services from three EFR organisations in 2018 were surveyed. Ninety-seven percent of participants received government social security payments. Food insecurity prevalence was 92% (USDA-HFSSM 6 item); of these, 63% were experiencing very low food security. Over half (54%) of households with children (n = 26) reported being sometimes unable to feed their children balanced meals and 50% indicated that they were not eating enough. Participants (47%) relied on EFR services for food between one and five years. Poor self-rated dental health was expressed by over 50% of participants and 97% indicated the importance for services to provide healthy food. Food insecurity prevalence was high and chronic among adults receiving EFR services in a large regional Australian city. Recipients’ poor dental health, chronicity of use of services for food assistance, and calls for healthier food suggest more was needed to secure pathways out of food insecurity. The chronicity of reliance on EFR is a concern. The results of this study are likely to be of interest to providers and funders of EFR, policy makers, academics, and client advocates. Whilst the provision of EFR is not a sustainable solution to the problem of food insecurity, scope exists to improve service delivery to uphold principles of dignity, choice, and access to nutritious food. Furthermore, this highlights that the key strategies to mitigate food insecurity lie beyond simply feeding people.

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Stakeholders’ Perspectives on the Current Status of Partnerships between the Food Banking and Healthcare Systems to Address Food Insecurity in the U.S.

Cited by 5 publications

References 24 publications

Perspectives of Health Care Staff on Predictors of Success in a Food Prescription Program: A Qualitative Study

Perspectives of Health Care Staff on Predictors of Success in a Food Prescription Program: A Qualitative Study

Community-based organizations’ perspectives on piloting health and social care integration in North Carolina

Perspectives of Food Insecurity and Service Delivery amongst Emergency Food Relief Clients in a Regional City in Victoria, Australia

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