Three-Tiered Advocacy: Using a Longitudinal Curriculum to Teach Pediatric Residents Advocacy on an Individual, Community, and Legislative Level

Lax, Yonit; Braganza, Sandra; Patel, Milani

doi:10.1177/2382120519859300

Cited by 15 publications

(33 citation statements)

References 27 publications

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“…95 Unfortunately, little is known how to train workers to conduct SDOH activities and which approaches are best fit for the different types of workers. The only studies that explicitly evaluated the training components of their models were with those that used pediatric residents, [35][36][37][38][39] possibly due to the growing emphasis on SDOH in post-graduate medical education. 96 Future efforts should test and optimize training materials and certification opportunities for nonphysician workers to maximize efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Fifty-eight studies were conducted with primary care patients, [29][30][31][72][73][74]76,[78][79][80][81][82][83][84][85][86][87][88][89] 4 took place in a specialty clinics, 32,71,75,77 1 took place in urgent care, 27 and 3 took place across multiple settings (eg, primary, specialty, and urgent care). 26,28,90 Majority of studies reported including academic sites (n = 40), 29,[34][35][36][37][38][39][41][42][43][44][47][48][49][50][51][52][53][54][55][56][57][58]…”

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

“…26,28,90 Majority of studies reported including academic sites (n = 40), 29,[34][35][36][37][38][39][41][42][43][44][47][48][49][50][51][52][53][54][55][56][57][58][59]62,63,65,66,71,72,75,[77][78][79][80]82,84,85,89,90 including urban sites (n = 48), 26-30,32,34-56,61-63,65-68,71,72,75,77,79-81 ,83,87-90 and including the pediatric and adolescent population (n = 40). [26][27][28][29][30][35][36]…”

Section: Characteristics Of Sources Of Evidencementioning

confidence: 99%

“…Of the 24 studies that included clinician-administered screening, 1 used medical providers to screen patients, 37 7 used medical residents, [35][36][37][38][39]89,90 1 used a combination of clinical and social care staff (eg, nurse, social worker, medical assistant), 40 and 15 used paid social care staff (eg, case managers, community health workers, navigators) or volunteers. [26][27][28]31,33,[49][50][51]57,60,63,74,78,85,88 In the 8 models using medical providers or residents, they either (1) assisted patients directly through community resource referrals, 38,39 (2) provided community resource referrals with an option to escalate to a social worker or an on-site medical legal partnership, 36,37,47,90 or (3) directly referred patients to social work or the onsite medical legal partnership without providing community resource information themselves. 35,89 In the 15 models that used social care staff or non-physician clinical staff to administer screenings, the same worker who conducted the screening was the same worker to provide initial assistance to patients, 31,36,40,41,44,55,56,58,61,…”

Section: Screening and Responding To Unmet Needsmentioning

confidence: 99%

“…[26][27][28]34,42,51,52,56,57,63,64,77,[84][85][86]88 In [29][30][31]39,44,46,48,57,60,72,75 or multi-component (n = 17, eg, in-person training and skill-based training). 28,[35][36][37][38]42,47,49,50,61,70,74,86,[88][89][90] Of note, 37 studies did not explicitly report how staff were trained to implement the program. 27,[32][33][34]40,41,43,45,[51]...…”

Section: Response Activitiesmentioning

confidence: 99%

See 4 more Smart Citations

Workforce Models to Screen for and Address Patients’ Unmet Social Needs in the Clinic Setting: A Scoping Review

Sandhu

Eisenson

et al. 2021

J Prim Care Community Health

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Objectives While healthcare organizations increasingly aim to address the social determinants of health (SDOH) in the clinic setting, there is little guidance on which staff are best equipped to assume this role. The present study is a scoping review of the peer-reviewed literature to characterize workforce models used to screen for and respond to patients’ unmet social needs in ambulatory settings. Methods Four online databases were used to identify papers published until February 2021. Eligible articles were original research studies or systematic reviews that described the implementation of a standardized assessment for multiple SDOH domains and resulting activities to respond to individual patient needs (eg, referral to community resources) in ambulatory care settings. Results Of the 1569 articles identified, 65 met study eligibility criteria. Majority of studies had observational study designs (11% were randomized control trials). For screening-related activities, more articles reported using traditional healthcare staff (51%), such as medical providers, medical assistants, and front-desk staff, than social care staff (32%), such as social workers and student volunteers. In contrast, for response-related activities, more articles reported using social care staff (88%) than traditional healthcare staff (60%). While we found wide variations in specific team configurations and training for the roles, social care staff generally provided more intensive forms of assistance than traditional healthcare staff. Conclusion While this review demonstrates the breadth of models for building or deploying a workforce to integrate health and social care, it also identifies the need for rigorous research on workforce development, implementation, and effectiveness.

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