title: Caregiver Opinion of In-Hospital Screening for Unmet Social Needs by Pediatric Residents.
abstract: OBJECTIVE
  Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to screening for needs by pediatric residents, and socioeconomic status (SES).
  
  
  METHODS
  Cross-sectional survey study of caregivers of hospitalized children. The survey collected information on caregiver opinion regarding their ability to ask physicians for help with social needs, whether physicians know how to help with those needs, and whether physicians should ask about social needs. The chi square test was used to identify associations between caregiver opinions, prior screening by a resident at admission, and SES (determined by census tract median household income).
  
  
  RESULTS
  Surveys were completed by 143 caregivers (79% participation). Most respondents agreed that they could ask their physician for help (54.5%), that their physician knows how to help (64.3%), and that physicians should ask about social needs (71.3%). Previously screened caregivers had more favorable opinions about asking for help (76.2% vs 45.5%, P < .01), whether their physician knows how to help (81.0% vs 57.4%, P = .02), and physician screening for unmet needs (85.7% vs 65.3%, P = .03). There were no SES differences in opinion.
  
  
  CONCLUSIONS
  Caregivers have favorable opinions of the physician's role in addressing the social determinants of health, especially after being screened. Physicians should be confident in the acceptability of screening families for social needs.
authors.affiliation: Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Mo; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, Mo. Electronic address: jdcolvin@cmh.edu.
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Colvin
authors.affiliation: Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Mo; Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, Mo.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Bettenhausen
authors.affiliation: Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Calif.
authors.forename: Kaston D
authors.initials: KD
authors.lastname: Anderson-Carpenter
authors.affiliation: Work Group for Community Health and Development, University of Kansas, Lawrence, KS.
authors.forename: Vicki
authors.initials: V
authors.lastname: Collie-Akers
authors.affiliation: Departments of Pediatrics and Health Policy & Management, University of California, Los Angeles, Calif; Children's Discovery & Innovation Institute, Mattel Children's Hospital UCLA, Los Angeles, Calif; RAND Health, The RAND Corporation, Santa Monica, Calif.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Chung
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D017028:Caregivers; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005523:Food Supply; D054624:Health Status Disparities; D006760:Hospitalization; D006798:Housing; D006801:Humans; D007223:Infant; D007348:Insurance, Health; D007396:Internship and Residency; D008297:Male; D008403:Mass Screening; D020380:Needs Assessment; D010372:Pediatrics; D011203:Poverty; D012923:Social Class; D064890:Social Determinants of Health; D012931:Social Environment; D011795:Surveys and Questionnaires
keywords: health status disparities; poverty; social determinants of health; socioeconomic factors; vulnerable populations