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Prolonged pediatric hospitalizations can lead to financial and capacity strain for health systems and generate psychosocial and economic stress for children and their caregivers. Hospital length of stay (LOS) is therefore often measured as an indicator of health care quality,…
Despite scientific consensus that a whole, varied diet is important for health, few individuals in the US eat enough fruits and vegetables. While physicians have frequent interactions with patients who would benefit from increased fruit and vegetable intake, they lack systems and…
In this retrospective cohort study using data from an integrated primary care and subspecialty network, we examined medical records of children seen in primary care at eligible autism spectrum disorder (ASD) screening ages and followed through at least 4 years of age. We examined the…
An increasing number of pediatric health systems are implementing social needs screening and referral programs. These programs aim to engage families during health care encounters; identify health-related social needs such as food insecurity, housing instability, and difficulty paying…
STUDY OBJECTIVE: The objective of this study was to examine racial/ethnic disparities in contraceptive delivery for adolescent patients within an adolescent medicine subspecialty clinical system before and during the COVID-19 pandemic. Secondarily, we aimed to assess the relationship…
IMPORTANCE: The 2021 expanded Child Tax Credit provided advance monthly payments to many US families with children from July through December 2021 and was associated with a reduction in food insufficiency. Less is known about the effect of the discontinuation of monthly payments…
With rising rates of food insecurity (FI) during the pandemic, we implemented a clinic-based, community-supported agriculture program at 2 outpatient centers in low-income areas associated with an urban children's hospital and evaluated (1) the program's ability to reach FI families…
In 1921, Tulsa, Oklahoma’s “Black Wall Street,” a financially independent and vibrant community that had been built and sustained by Black Americans, became the site of one of the United States’ worst race massacres, fueled by White supremacists. Hundreds of people were killed,…
Poverty and associated health-related social needs, such as food insecurity and housing instability, can limit children’s access to care and adversely affect child health outcomes. Addressing social needs should, therefore, be a priority for pediatric clinicians and health systems…
OBJECTIVE: To assess the impact of the COVID-19 pandemic on screening for autism spectrum disorder (ASD) and screening equity among eligible children presenting for well-child care in a large primary care pediatric network, we compared rates of ASD screening completion and…