J Health Care Poor Underserved. 2022;33(1):451-456. doi: 10.1353/hpu.2022.0034.
Food insecurity (FI) causes worse health and education outcomes for children. Screening for FI is feasible and acceptable during well-child visits. Standard protocols, upon positive screen, refer families to community resources, such as food pantries, but followthrough rates are low. Good Apple (GA) was developed to deliver fresh produce and pantry staples to the homes of families facing FI, as identified by pediatricians. Good Apple uses a two-sided, self-sustaining business model: a subscription-based produce delivery service generates revenue from paying customers, which funds free grocery delivery services for families facing FI. The program works with (1) local farmers to rescue and redistribute unsold fruits and vegetables; (2) local food pantries to supplement deliveries with proteins, grains, and dairy; and (3) pediatricians who prescribe GA to families facing FI. Good Apple helps food pantries reach more clients; empowers pediatricians with closed-loop referrals; and delivers healthy food to families facing FI and transportation barriers.
食品不安全（FI）会导致儿童的健康和教育状况恶化。在儿童健康检查期间，筛查 FI 是可行且可接受的。如果筛查呈阳性，标准协议会将家庭转介到社区资源，如食品储藏室，但后续跟进率很低。Good Apple（GA）旨在将新鲜农产品和储藏室主食送到儿科医生确定的面临 FI 的家庭。Good Apple 使用双边、自我维持的商业模式：基于订阅的农产品配送服务从付费客户那里产生收入，这些收入为面临 FI 的家庭提供免费杂货配送服务。该计划与（1）当地农民合作，以抢救和重新分配未售出的水果和蔬菜；（2）当地食品储藏室补充蛋白质、谷物和乳制品；以及（3）向面临 FI 的家庭开 GA 处方的儿科医生合作。Good Apple 帮助食品储藏室接触到更多的客户；授权儿科医生进行闭环转介；并向面临 FI 和交通障碍的家庭提供健康食品。
