Hoffman Caitlin, Harris Melissa, Acharya Krishna, Malnory Margaret, Cohen Susan, Lagatta Joanne
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA.
J Perinatol. 2025 Mar;45(3):365-371. doi: 10.1038/s41372-024-02096-x. Epub 2024 Sep 7.
To determine whether screening for social determinants of health (SDoH) in a level IV neonatal intensive care unit (NICU) could uncover additional family needs.
Secondary analysis of a prospective study in a level IV NICU. Participants filled out the Protocol for Responding to and Assessing Patients' Assets, Risks and Experiences (PRAPARE) tool, which includes economic, housing, transportation, and safety questions. Questionnaires were completed via secure tablet; the research team notified social workers of reported needs. Illness and demographic characteristics were compared between families who did and did not report resource needs. Manual chart review assessed subsequent response to reported SDoH needs.
Of 319 respondents, 61(19%) reported resource needs. Of 61 families, 88% received repeat social work encounters to re-assess for resources; 59% received new resource referrals.
Systematic SDoH screening can identify needs throughout the NICU stay, even among families already connected to social work support.
确定在四级新生儿重症监护病房（NICU）筛查健康的社会决定因素（SDoH）是否能发现更多家庭需求。
对一项在四级NICU进行的前瞻性研究进行二次分析。参与者填写了应对和评估患者资产、风险及经历的协议（PRAPARE）工具，其中包括经济、住房、交通和安全问题。问卷通过安全平板电脑完成；研究团队将报告的需求通知给社会工作者。对报告有资源需求和未报告有资源需求的家庭的疾病和人口统计学特征进行了比较。人工病历审查评估了对报告的SDoH需求的后续应对情况。
在319名受访者中，61名（19%）报告了资源需求。在这61个家庭中，88%的家庭接受了社会工作者的再次接触以重新评估资源；59%的家庭获得了新的资源转介。
系统的SDoH筛查可以在整个NICU住院期间识别需求，即使是在已经获得社会工作支持的家庭中。
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