The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Children's National Hospital, Washington, DC, USA.
Clin Pediatr (Phila). 2023 Oct;62(9):1018-1026. doi: 10.1177/00099228221150604. Epub 2023 Jan 23.
Efforts to address food insecurity (FI) in pediatric clinics have increased over the last decade, particularly after a groundbreaking 2015 American Academy of Pediatrics policy statement supporting universal routine screening and intervening. Produce prescription programs are a novel strategy addressing FI. Limited data exist on effectiveness and feasibility in pediatric clinical settings. This study explored clinician experiences after enrolling patients who completed a produce prescription program in an urban primary-care clinic in Washington, DC. One year after program completion, the experiences of 11 clinicians were explored through qualitative interviews and coded using thematic content analysis. Identified themes explored changes in clinician knowledge, attitudes, and behaviors. Clinicians expressed that the program offered a tangible resource to address FI, building trust and strengthening their sense of self-efficacy in addressing families' concerns. Incorporation of a produce prescription intervention to address FI was feasible and well accepted by pediatric primary-care clinicians.
在过去十年中,儿科诊所解决粮食不安全问题的努力有所增加,尤其是在 2015 年美国儿科学会发布支持普遍常规筛查和干预的开创性政策声明之后。农产品处方计划是一种解决粮食不安全问题的新策略。在儿科临床环境中,关于其有效性和可行性的数据有限。本研究探讨了在华盛顿特区一家城市初级保健诊所为完成农产品处方计划的患者提供服务后,临床医生的经验。在完成计划一年后,通过定性访谈探索了 11 名临床医生的经验,并使用主题内容分析进行了编码。确定的主题探讨了临床医生知识、态度和行为的变化。临床医生表示,该计划为解决粮食不安全问题提供了一个切实可行的资源,建立了信任,增强了他们在解决家庭关注问题方面的自我效能感。将农产品处方干预措施纳入解决粮食不安全问题是可行的,也得到了儿科初级保健临床医生的广泛认可。