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Pediatric Hospitalization and Social Determinants of Health: Screening, Advocacy, and Action Plan

This presentation discusses the importance of social determinants of health in pediatric hospitalization and provides strategies for efficient screening, advocacy, and developing action plans. Topics include housing, food, and income insecurity, as well as poor medical literacy and financial limitations.

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Pediatric Hospitalization and Social Determinants of Health: Screening, Advocacy, and Action Plan

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  1. MAYURI GANUPURU & GRANT CHRISTMAN University of Southern California Keck SoM Division of Hospital Medicine SHERRY SHENODA & RITA NATHAWAD University of Florida College of Medicine-Jacksonville Department of Pediatrics Disclosures: The presenters have no financial relationships to disclose or conflicts of interest to resolve.

  2. Contextualize pediatric hospitalization within a framework of social and environmental determinants of health. Utilize the social history to efficiently screen for psychosocial stressors. Identify a specific need for advocacy in the hospital setting and develop an action plan.

  3. PROXIMITY TO MAJOR FREEWAY MOLD, ROACHES, SUBSTANDARD HOUSING BRONCHO- CONSTRICTION SHS ASTHMA HOSPITALIZATION

  4. DRIVING WRECKLESSLY NORMAL YOUTH PSYCHOLOGY AND PEER INFLUENCE MISPERCEPTIONOF SEAT BEALT UNRESTRAINED IN MOTOR VEHICLE ACCIDENT TRAUMATIC BRAIN INJURY TRAUMA HOSPITALIZATION

  5. POOR MEDICAL LITERACY FAILURE TO UNDERSTAND DIABETES EDUCATION RECURRENT DKA ADMISSIONS FINANCIAL INSECURITY INABILITY TO AFFORD MEDICATIONS

  6. SH: Lives in an apartment with both parents, 3- and 5-y.o. siblings, has two dogs

  7. 1. FOOD INSECURITY: In the past year, have you run out of food and not had money to buy more? In the past year, have you worried that you would run out of food and not had money to buy more? 2. HOUSING INSECURITY: Do you have a place to live? Are you able to make rent or pay your mortgage? 3. INCOME INSECURITY: Are you having trouble paying the bills or making ends meet?

  8. INCOME HOUSING EDUCATION LEGAL STATUS LITERACY PERSONAL SAFETY

  9. Social work Help desk Medicolegal partnership Local resource sheet

  10. "The Academy advocates for the health of all children, and works with government, communities and other national organizations to shape many child health and safety issues"

  11. Clinical: individual and institutional Community Legislative

  12. Use pre-existing avenues for scholarship including interventional studies, education, and QI

  13. PROXIMITY TO MAJOR FREEWAY MOLD, ROACHES, SUBSTANDARD HOUSING A letter to the landlord Referral to public health Referral to medicolegal partnership BRONCHO- CONSTRICTION SHS ASTHMA HOSPITALIZATION

  14. DRIVING WRECKLESSLY NORMAL YOUTH PSYCHOLOGY AND PEER INFLUENCE MISPERCEPTIONOF SEAT BEALT UNRESTRAINED IN MOTOR VEHICLE ACCIDENT TRAUMATIC BRAIN INJURY Screening and educational intervention designed with trauma surgeons that would be implemented automatically for patients of this type TRAUMA HOSPITALIZATION

  15. POOR MEDICAL LITERACY FAILURE TO UNDERSTAND DIABETES EDUCATION RECURRENT DKA ADMISSIONS FINANCIAL INSECURITY INABILITY TO AFFORD MEDICATIONS Establish a patient care fund

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