title: Redesigning Health Care Practices to Address Childhood Poverty.
abstract: Child poverty in the United States is widespread and has serious negative effects on the health and well-being of children throughout their life course. Child health providers are considering ways to redesign their practices in order to mitigate the negative effects of poverty on children and support the efforts of families to lift themselves out of poverty. To do so, practices need to adopt effective methods to identify poverty-related social determinants of health and provide effective interventions to address them. Identification of needs can be accomplished with a variety of established screening tools. Interventions may include resource directories, best maintained in collaboration with local/regional public health, community, and/or professional organizations; programs embedded in the practice (eg, Reach Out and Read, Healthy Steps for Young Children, Medical-Legal Partnership, Health Leads); and collaboration with home visiting programs. Changes to health care financing are needed to support the delivery of these enhanced services, and active advocacy by child health providers continues to be important in effecting change. We highlight the ongoing work of the Health Care Delivery Subcommittee of the Academic Pediatric Association Task Force on Child Poverty in defining the ways in which child health care practice can be adapted to improve the approach to addressing child poverty.
authors.affiliation: Department of Pediatrics, NYU School of Medicine, New York, NY. Electronic address: ahf1@nyumc.org.
authors.forename: Arthur H
authors.initials: AH
authors.lastname: Fierman
authors.affiliation: Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Beck
authors.affiliation: Department of Pediatrics, The Sidney Kimmel Medical College of Thomas Jefferson University and Nemours, Philadelphia, PA.
authors.forename: Esther K
authors.initials: EK
authors.lastname: Chung
authors.affiliation: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
authors.forename: Megan M
authors.initials: MM
authors.lastname: Tschudy
authors.affiliation: Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
authors.forename: Tumaini R
authors.initials: TR
authors.lastname: Coker
authors.affiliation: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD; Office of Extramural Research, Education, and Priority Populations, Agency for Healthcare Research and Quality, US Department of Health and Human Services, Rockville, MD.
authors.forename: Kamila B
authors.initials: KB
authors.lastname: Mistry
authors.affiliation: Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Siegel
authors.affiliation: Department of Pediatrics, Stanford School of Medicine, Stanford, CA.
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Chamberlain
authors.affiliation: Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Conroy
authors.affiliation: General Pediatrics, Department of Pediatrics, Denver Health, Denver, CO.
authors.forename: Steven G
authors.initials: SG
authors.lastname: Federico
authors.affiliation: Department of Pediatrics, Warren Alpert Medical School of Brown University/Hasbro Children's Hospital, Providence, RI.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Flanagan
authors.affiliation: Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA.
authors.forename: Arvin
authors.initials: A
authors.lastname: Garg
authors.affiliation: Department of Pediatrics, George Washington University, Washington, DC.
authors.forename: Benjamin A
authors.initials: BA
authors.lastname: Gitterman
authors.affiliation: Department of Pediatrics, George Washington University, Washington, DC.
authors.forename: Aimee M
authors.initials: AM
authors.lastname: Grace
authors.affiliation: Department of Pediatrics, Albert Einstein College of Medicine, The Children's Hospital at Montefiore, Bronx, New York.
authors.forename: Rachel S
authors.initials: RS
authors.lastname: Gross
authors.affiliation: Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Hole
authors.affiliation: Department of Pediatrics, NYU School of Medicine, New York, NY.
authors.forename: Perri
authors.initials: P
authors.lastname: Klass
authors.affiliation: Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Colleen
authors.initials: C
authors.lastname: Kraft
authors.affiliation: Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Medicine, David Geffen School of Medicine at UCLA.
authors.forename: Alice
authors.initials: A
authors.lastname: Kuo
authors.affiliation: Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, San Francisco, CA.
authors.forename: Gena
authors.initials: G
authors.lastname: Lewis
authors.affiliation: Department of Pediatrics, Albert Einstein College of Medicine, The Children's Hospital at Montefiore, Bronx, New York.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: Lobach
authors.affiliation: Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, San Francisco, CA; Center of Community Health and Engagement, UCSF Benioff Children's Hospital Oakland, San Francisco, CA.
authors.forename: Dayna
authors.initials: D
authors.lastname: Long
authors.affiliation: Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, San Francisco, CA.
authors.forename: Christine T
authors.initials: CT
authors.lastname: Ma
authors.affiliation: Department of Pediatrics, NYU School of Medicine, New York, NY.
authors.forename: Mary
authors.initials: M
authors.lastname: Messito
authors.affiliation: Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
authors.forename: Dipesh
authors.initials: D
authors.lastname: Navsaria
authors.affiliation: Department of Pediatrics, University of Kentucky College of Medicine, Lexington.
authors.forename: Kimberley R
authors.initials: KR
authors.lastname: Northrip
authors.affiliation: Department of Pediatrics, NYU School of Medicine, New York, NY.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Osman
authors.affiliation: Department of Pediatrics, Tufts University School of Medicine, Boston, MA; Baystate Children's Hospital, Springfield, MA.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Sadof
authors.affiliation: Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Schickedanz
authors.affiliation: Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
authors.forename: Joanne
authors.initials: J
authors.lastname: Cox
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics / Q000458:organization & administration*; D011203:Poverty; D012017:Referral and Consultation; D064890:Social Determinants of Health; D012946:Social Welfare; D012947:Social Work; D014481:United States
keywords: child poverty; practice redesign; social determinants of health