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Early Childhood Referrals by HealthySteps and Community Health Workers.

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Title: Early Childhood Referrals by HealthySteps and Community Health Workers.
Authors: Germán, Miguelina1 mgerman@montefiore.org, Alonzo, Jayxa K.1, Williams, I. Mihiri1, Bushar, Jessica2, Levine, Sydney M.1, Cuno, Kate C.3, Umylny, Polina1, Briggs, Rahil D.1,2
Source: Clinical Pediatrics. May2023, Vol. 62 Issue 4, p321-328. 8p.
Subject Terms: *Health promotion, Social determinants of health, Medical screening, Health outcome assessment, Medical referrals, Chi-squared test
Abstract: This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
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Abstract:This study explored how a community health worker (CHW) within a primary care team with a HealthySteps (HS) Specialist impacted referrals to social determinant of health resources for families with children aged birth to 5 years. Medical charts with documentation of HS comprehensive services between January and June 2018 were reviewed at 3 primary care clinics: 2 with an HS Specialist (HSS Only) and 1 with an HS Specialist and CHW (HSS + CHW). Eighty-six referrals were identified, 78 of which had documented outcomes. Outcomes were categorized as successful, unsuccessful, and not documented. The HSS + CHW group had a higher rate of successful referrals (96%) than the HSS Only group (74%). Statistical analysis (χ2 = 8.37, P =.004) revealed a significant association between the referral outcome and having a CHW on a primary care team with an HS Specialist. Therefore, primary care practices should consider adapting their HS model to include CHWs. [ABSTRACT FROM AUTHOR]
ISSN:00099228
DOI:10.1177/00099228221120706