Reinoso Deanna, Haut Dawn, Claffey Stephen, Hahn Keiner Kathy, Chavez Alejandra, Nace Nicole, Carter Amy
Eskenazi Health Center Pecar, Indianapolis, Indiana, US.
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, US.
Int J Integr Care. 2022 Sep 30;22(3):24. doi: 10.5334/ijic.6430. eCollection 2022 Jul-Sep.
Social determinants of health, such as food insecurity, contribute to chronic health conditions, decreased quality of life, and health disparities. Increasingly, healthcare systems seek to address social determinants of health by integrating medical and social care.
Eskenazi Health Center Pecar is a Federally Qualified Health Center providing comprehensive primary care to vulnerable patients in Indianapolis, IN, USA. This health center, in coalition with community partners, established and continually developed an integrated food pantry model to address food insecurity, improve nutrition education, and support patient access to healthy food.
Food insecurity and poor nutrition are common in primary care and contribute to the incidence and outcomes of chronic conditions such as obesity, hypertension, and diabetes. Long-term management of food assistance and nutrition programs requires substantial resources, partnerships, and leadership. We describe lessons learned in food pantry partnership, funding, logistics, and sustainability in a collaborative food access model integrated into healthcare. These lessons learned can be utilized by other health systems to scale up and accelerate strategies to better address food security and nutrition education. This paper articulates best practices for integrating a food pantry model within primary care with the goal of long-term sustainability and direct impact on patient health outcomes.
健康的社会决定因素，如粮食不安全，会导致慢性健康状况、生活质量下降和健康差距。医疗保健系统越来越多地寻求通过整合医疗和社会护理来解决健康的社会决定因素。
埃斯凯纳齐健康中心佩卡尔是一家联邦合格健康中心，为美国印第安纳州印第安纳波利斯的弱势患者提供全面的初级保健服务。该健康中心与社区合作伙伴联合，建立并不断发展了一个综合食品储藏室模式，以解决粮食不安全问题，改善营养教育，并支持患者获得健康食品。
粮食不安全和营养不良在初级保健中很常见，并导致肥胖、高血压和糖尿病等慢性病的发病率和后果。粮食援助和营养项目的长期管理需要大量资源、伙伴关系和领导力。我们描述了在整合到医疗保健中的合作性食品获取模式中，在食品储藏室伙伴关系、资金、物流和可持续性方面吸取的经验教训。其他医疗系统可以利用这些经验教训来扩大和加速战略，以更好地解决粮食安全和营养教育问题。本文阐述了在初级保健中整合食品储藏室模式的最佳做法，目标是实现长期可持续性并直接影响患者健康结果。
