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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]
Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
An: 163159260
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Early Childhood Referrals by HealthySteps and Community Health Workers.
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  Data: <searchLink fieldCode="AR" term="%22Germán%2C+Miguelina%22">Germán, Miguelina</searchLink><relatesTo>1</relatesTo><i> mgerman@montefiore.org</i><br /><searchLink fieldCode="AR" term="%22Alonzo%2C+Jayxa+K%2E%22">Alonzo, Jayxa K.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Williams%2C+I%2E+Mihiri%22">Williams, I. Mihiri</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bushar%2C+Jessica%22">Bushar, Jessica</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Levine%2C+Sydney+M%2E%22">Levine, Sydney M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cuno%2C+Kate+C%2E%22">Cuno, Kate C.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Umylny%2C+Polina%22">Umylny, Polina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Briggs%2C+Rahil+D%2E%22">Briggs, Rahil D.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Pediatrics%22">Clinical Pediatrics</searchLink>. May2023, Vol. 62 Issue 4, p321-328. 8p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink>
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  Data: 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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  Data: <i>Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00099228221120706
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        Text: English
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      – SubjectFull: Social determinants of health
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      – SubjectFull: Medical screening
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Medical referrals
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      – SubjectFull: Chi-squared test
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      – TitleFull: Early Childhood Referrals by HealthySteps and Community Health Workers.
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              M: 05
              Text: May2023
              Type: published
              Y: 2023
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