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Acad Pediatr. 2016 Apr;16(3 Suppl):S136-46. doi: 10.1016/j.acap.2016.01.004.

Redesigning Health Care Practices to Address Childhood Poverty.

Author information

1
Department of Pediatrics, NYU School of Medicine, New York, NY. Electronic address: ahf1@nyumc.org.
2
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
3
Department of Pediatrics, The Sidney Kimmel Medical College of Thomas Jefferson University and Nemours, Philadelphia, PA.
4
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
5
Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA.
6
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.
7
Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA.
8
Department of Pediatrics, Stanford School of Medicine, Stanford, CA.
9
Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
10
General Pediatrics, Department of Pediatrics, Denver Health, Denver, CO.
11
Department of Pediatrics, Warren Alpert Medical School of Brown University/Hasbro Children's Hospital, Providence, RI.
12
Department of Pediatrics, George Washington University, Washington, DC.
13
Department of Pediatrics, Albert Einstein College of Medicine, The Children's Hospital at Montefiore, Bronx, New York.
14
Department of Pediatrics, NYU School of Medicine, New York, NY.
15
Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Medicine, David Geffen School of Medicine at UCLA.
16
Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, San Francisco, CA.
17
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.
18
Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI.
19
Department of Pediatrics, University of Kentucky College of Medicine, Lexington.
20
Department of Pediatrics, Tufts University School of Medicine, Boston, MA; Baystate Children's Hospital, Springfield, MA.

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.

KEYWORDS:

child poverty; practice redesign; social determinants of health

PMID:
27044692
DOI:
10.1016/j.acap.2016.01.004
[Indexed for MEDLINE]

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