{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:24:36Z","timestamp":1791987876991,"version":"4.4.0"},"reference-count":79,"publisher":"American Medical Association (AMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Pediatr"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec><jats:title>Importance<\/jats:title><jats:p>Social care could be sustained with savings resulting from reduced acute health care utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the impact of CommunityRx, a low-intensity, high-scale social care assistance intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>This double-blind randomized clinical trial took place from November 2020 through August 2023 at an urban children\u2019s hospital with 12-month follow-up. Inclusion criteria were primary caregiver of a child younger than 18 years who was hospitalized in general, intensive care, or transplant units, living in 1 of 42 zip codes, and consenting to text messages. Caregivers of healthy newborns and children with expected hospitalization less than 24 hours or longer than 30 days were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Participants were randomized to usual care (n\u2009=\u2009320) or usual care plus CommunityRx (n\u2009=\u2009320). Essential intervention components included education about common social conditions, personalized information about local resources, and ongoing navigator support with automated, proactive text messages (3 months) and ongoing availability for participant-initiated requests (12 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>Preplanned analyses focused on food insecure (FI) subgroup outcomes (n\u2009=\u2009223): self-efficacy for finding resources at 12 months (primary), caregiver-reported child health, and number of child emergency department (ED) and hospital admissions over 12 months. Regression models were fit with treatment group and baseline outcome characteristics. Odds ratios (ORs) or incidence rate ratios (IRRs) and 95% CIs were calculated. Post hoc analysis examined outcomes among the food secure (FS) subgroup (n\u2009=\u2009414).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Preplanned analyses included 223 FI participants and most identified as female (180 [95%]) and had household income less than $50\u202f000 per year (197 [91%]). Self-efficacy at 12 months was similar among treatment groups (OR, 0.59; 95% CI, 0.25-1.39, <jats:italic>P<\/jats:italic>\u2009=\u2009.23). At 3 months, when automated navigator texts ended, 53 intervention group participants (69%) and 39 controls (45%) rated their child\u2019s health as excellent or very good (OR, 2.67; 95% CI, 1.14-6.24). During 12 months postdischarge, 54 FI children (41%) had 1 or more ED visits (median, 0; range, 0-32; intervention, 30%; control, 52%; IRR, 0.40; 95% CI, 0.21-0.76) and 32 had 1 or more hospitalizations (24%) (median, 0; range, 0-5; intervention, 15%; control, 34%; IRR, 0.48; 95% CI, 0.21-1.06). The intervention did not impact outcomes among FS caregivers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance<\/jats:title><jats:p>A low-intensity, high-scale social care assistance intervention beginning with pediatric hospitalization may be sustainable by reducing acute health care utilization, but did not increase caregiver self-efficacy for finding resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>ClinicalTrials.gov Identifier: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT04171999?term=NCT04171999&amp;amp;amp;rank=1\">NCT04171999<\/jats:ext-link><\/jats:p><\/jats:sec>","DOI":"10.1001\/jamapediatrics.2025.0484","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T15:31:43Z","timestamp":1745854303000},"page":"610","source":"Crossref","is-referenced-by-count":7,"title":["Low-Intensity Social Care and Child Acute Health Care Utilization"],"prefix":"10.1001","volume":"179","author":[{"given":"Stacy Tessler","family":"Lindau","sequence":"first","affiliation":[{"name":"Department of Ob\/Gyn, Medicine-Geriatrics and Palliative Medicine and the Comprehensive Cancer Center, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Makelarski","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria A.","family":"Winslow","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Abramsohn","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veera","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah L.","family":"Burnet","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Pediatrics, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles M.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mellissa","family":"Grana","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doriane C.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva S.","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Ob\/Gyn, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Waxman","sequence":"additional","affiliation":[{"name":"Urban Institute, Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen E.","family":"Wroblewski","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Chicago, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"1","key":"poi250011r2","doi-asserted-by":"publisher","first-page":"51","DOI":"10.3945\/an.112.003228","article-title":"Are food insecurity\u2019s health impacts underestimated in the US population? marginal food security also predicts adverse health outcomes in young U.S. children and mothers.","volume":"4","author":"Cook","year":"2013","journal-title":"Adv Nutr"},{"issue":"1","key":"poi250011r3","doi-asserted-by":"publisher","DOI":"10.58464\/2155-5834.1355","article-title":"Household food insecurity positively associated with increased hospital charges for infants.","volume":"9","author":"Ettinger de Cuba","year":"2019","journal-title":"J Appl Res Child"},{"issue":"1","key":"poi250011r4","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s10995-015-1797-8","article-title":"\u201cDo you wanna breathe or eat?\u201d: parent perspectives on child health consequences of food insecurity, trade-offs, and toxic stress.","volume":"20","author":"Knowles","year":"2016","journal-title":"Matern Child Health J"},{"issue":"8","key":"poi250011r5","doi-asserted-by":"publisher","first-page":"e98","DOI":"10.2105\/AJPH.2015.302719","article-title":"Feed first, ask questions later: alleviating and understanding caregiver food insecurity in an urban children\u2019s hospital.","volume":"105","author":"Makelarski","year":"2015","journal-title":"Am J Public Health"},{"issue":"4","key":"poi250011r6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0397","article-title":"Food insecurity and child health.","volume":"144","author":"Thomas","year":"2019","journal-title":"Pediatrics"},{"issue":"4","key":"poi250011r7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0347","article-title":"Food insecurity and health care use.","volume":"144","author":"Peltz","year":"2019","journal-title":"Pediatrics"},{"issue":"6","key":"poi250011r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2023.101451","article-title":"Innovations in social health delivery to advance equitable pediatric and adolescent life course health development: A review and roadmap forward.","volume":"53","author":"Liu","year":"2023","journal-title":"Curr Probl Pediatr Adolesc Health Care"},{"key":"poi250011r14","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.306984","article-title":"Feed1st, no questions asked: how a hospital-based food pantry program grew its impact during the COVID-19 pandemic.","author":"Frazier","journal-title":"Am J Public Health"},{"issue":"4","key":"poi250011r15","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2021.100589","article-title":"Massachusetts General Hospital revere food pantry: addressing hunger and health at an academic medical center community clinic.","volume":"9","author":"Mirsky","year":"2021","journal-title":"Healthc (Amst)"},{"issue":"17","key":"poi250011r16","doi-asserted-by":"publisher","first-page":"3261","DOI":"10.1017\/S1368980019002040","article-title":"Patient experiences and provider perspectives on a hospital-based food pantry: a mixed methods evaluation study.","volume":"22","author":"Greenthal","year":"2019","journal-title":"Public Health Nutr"},{"issue":"1","key":"poi250011r17","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0320","article-title":"Suburban families\u2019 experience with food insecurity screening in primary care practices.","volume":"140","author":"Palakshappa","year":"2017","journal-title":"Pediatrics"},{"issue":"3","key":"poi250011r18","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1080\/13557858.2016.1263286","article-title":"Severity of household food insecurity and lifetime racial discrimination among African-American households in South Carolina.","volume":"23","author":"Burke","year":"2018","journal-title":"Ethn Health"},{"issue":"6","key":"poi250011r19","doi-asserted-by":"publisher","first-page":"1350","DOI":"10.1093\/tbm\/ibaa087","article-title":"Understanding stigma and food inequity: a conceptual framework to inform research, intervention, and policy.","volume":"10","author":"Earnshaw","year":"2020","journal-title":"Transl Behav Med"},{"issue":"3","key":"poi250011r20","doi-asserted-by":"publisher","first-page":"S116","DOI":"10.1016\/j.amepre.2022.03.035","article-title":"Barriers to patients\u2019 acceptance of social care interventions in clinic settings.","volume":"63","author":"Pfeiffer","year":"2022","journal-title":"Am J Prev Med"},{"issue":"1","key":"poi250011r21","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s10995-019-02785-6","article-title":"Food Insecurity screening in pediatric clinical settings: a caregivers\u2019 perspective.","volume":"24","author":"Barnidge","year":"2020","journal-title":"Matern Child Health J"},{"issue":"6","key":"poi250011r22","doi-asserted-by":"publisher","first-page":"S38","DOI":"10.1016\/j.amepre.2019.07.016","article-title":"Part II: a qualitative study of social risk screening acceptability in patients and caregivers.","volume":"57","author":"Byhoff","year":"2019","journal-title":"Am J Prev Med"},{"issue":"1","key":"poi250011r23","doi-asserted-by":"publisher","first-page":"66","DOI":"10.3122\/jabfm.2022.220211R1","article-title":"Patient and patient caregiver perspectives on social screening: a review of the literature.","volume":"36","author":"Brown","year":"2023","journal-title":"J Am Board Fam Med"},{"issue":"4","key":"poi250011r24","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1542\/hpeds.2023-007478","article-title":"Parent perspectives on documentation and sharing of health-related social needs data.","volume":"14","author":"Bouchelle","year":"2024","journal-title":"Hosp Pediatr"},{"issue":"2","key":"poi250011r25","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.acap.2022.07.002","article-title":"\u201cWhy Do They Want to Know?\u201d: a qualitative assessment of caregiver perspectives on social drivers of health screening in pediatric primary care.","volume":"23","author":"Penumalee","year":"2023","journal-title":"Acad Pediatr"},{"issue":"1","key":"poi250011r26","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1186\/s13063-023-07697-z","article-title":"CommunityRx, a social care assistance intervention for family and friend caregivers delivered at the point of care: two concurrent blinded randomized controlled trials.","volume":"24","author":"Abramsohn","year":"2023","journal-title":"Trials"},{"issue":"3-4","key":"poi250011r27","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1016\/j.ypmed.2011.01.001","article-title":"Building community-engaged health research and discovery infrastructure on the South Side of Chicago: science in service to community priorities.","volume":"52","author":"Lindau","year":"2011","journal-title":"Prev Med"},{"issue":"10","key":"poi250011r28","doi-asserted-by":"publisher","first-page":"1872","DOI":"10.2105\/AJPH.2016.303302","article-title":"A community-powered, asset-based approach to intersectoral urban health system planning in Chicago.","volume":"106","author":"Lindau","year":"2016","journal-title":"Am J Public Health"},{"issue":"4","key":"poi250011r29","doi-asserted-by":"publisher","first-page":"600","DOI":"10.2105\/AJPH.2018.304905","article-title":"CommunityRx: a real-world controlled clinical trial of a scalable, low-intensity community resource referral intervention.","volume":"109","author":"Lindau","year":"2019","journal-title":"Am J Public Health"},{"issue":"11","key":"poi250011r30","doi-asserted-by":"publisher","first-page":"2020","DOI":"10.1377\/hlthaff.2016.0694","article-title":"CommunityRx: a population health improvement innovation that connects clinics to communities.","volume":"35","author":"Lindau","year":"2016","journal-title":"Health Aff (Millwood)"},{"issue":"3","key":"poi250011r31","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1002\/asi.24560","article-title":"Sharing information about health-related resources: observations from a community resource referral intervention trial in a predominantly African American\/Black community.","volume":"73","author":"Lindau","year":"2022","journal-title":"J Assoc Inf Sci Technol"},{"issue":"3","key":"poi250011r32","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1007\/s11606-019-05530-5","article-title":"Impact of a low-intensity resource referral intervention on patients\u2019 knowledge, beliefs, and use of community resources: results from the CommunityRx Trial.","volume":"35","author":"Tung","year":"2020","journal-title":"J Gen Intern Med"},{"issue":"4","key":"poi250011r33","first-page":"281","article-title":"[Principles and practice of mass screening for disease].","volume":"65","author":"Wilson","year":"1968","journal-title":"Bol Oficina Sanit Panam"},{"issue":"3","key":"poi250011r34","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1136\/jech-2014-204311","article-title":"A glossary of policy frameworks: the many forms of \u2018universalism\u2019 and policy \u2018targeting\u2019.","volume":"71","author":"Carey","year":"2017","journal-title":"J Epidemiol Community Health"},{"issue":"3","key":"poi250011r35","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-054970","article-title":"Clinic-based financial coaching and missed pediatric preventive care: a randomized trial.","volume":"151","author":"Schickedanz","year":"2023","journal-title":"Pediatrics"},{"issue":"6","key":"poi250011r36","doi-asserted-by":"publisher","first-page":"e206445","DOI":"10.1001\/jamanetworkopen.2020.6445","article-title":"Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial.","volume":"3","author":"Pantell","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"2","key":"poi250011r37","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.outlook.2014.10.003","article-title":"A revised self- and family management framework.","volume":"63","author":"Grey","year":"2015","journal-title":"Nurs Outlook"},{"issue":"3","key":"poi250011r38","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2023.101985","article-title":"A middle range theory of self- and family management of chronic illness.","volume":"71","author":"Schulman-Green","year":"2023","journal-title":"Nurs Outlook"},{"issue":"1","key":"poi250011r39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2307\/2137284","article-title":"Revisiting the behavioral model and access to medical care: does it matter?","volume":"36","author":"Andersen","year":"1995","journal-title":"J Health Soc Behav"},{"issue":"2","key":"poi250011r40","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1111\/1468-0009.12690","article-title":"Revising the logic model behind health care\u2019s social care investments.","volume":"102","author":"Gottlieb","year":"2024","journal-title":"Milbank Q"},{"issue":"6","key":"poi250011r41","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1377\/hlthaff.2022.01502","article-title":"Health care impacts of resource navigation for health-related social needs in the accountable health communities model.","volume":"42","author":"Parish","year":"2023","journal-title":"Health Aff (Millwood)"},{"issue":"12","key":"poi250011r42","doi-asserted-by":"publisher","first-page":"1266","DOI":"10.1001\/jamapediatrics.2023.4596","article-title":"Effect of a social care intervention on health care experiences of caregivers of hospitalized children: a randomized clinical trial.","volume":"177","author":"Glasser","year":"2023","journal-title":"JAMA Pediatr"},{"issue":"1","key":"poi250011r43","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1542\/hpeds.2024-008025","article-title":"Caregivers\u2019 views of a pediatric inpatient intervention to address health-related social risks.","volume":"15","author":"Abramsohn","year":"2025","journal-title":"Hosp Pediatr"},{"issue":"22","key":"poi250011r47","doi-asserted-by":"publisher","first-page":"2252","DOI":"10.1001\/jama.2022.21022","article-title":"Guidelines for reporting outcomes in trial reports: the CONSORT-outcomes 2022 extension.","volume":"328","author":"Butcher","year":"2022","journal-title":"JAMA"},{"key":"poi250011r48","doi-asserted-by":"publisher","first-page":"c869","DOI":"10.1136\/bmj.c869","article-title":"CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials.","volume":"340","author":"Moher","year":"2010","journal-title":"BMJ"},{"issue":"2","key":"poi250011r51","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/0033-295X.84.2.191","article-title":"Self-efficacy: toward a unifying theory of behavioral change.","volume":"84","author":"Bandura","year":"1977","journal-title":"Psychol Rev"},{"issue":"5","key":"poi250011r53","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1097\/MLR.0b013e3181d5fb24","article-title":"Is same-hospital readmission rate a good surrogate for all-hospital readmission rate?","volume":"48","author":"Nasir","year":"2010","journal-title":"Med Care"},{"issue":"2","key":"poi250011r54","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1001\/archpedi.159.2.167","article-title":"Validity of maternal report of acute health care use for children younger than 3 years.","volume":"159","author":"D\u2019Souza-Vazirani","year":"2005","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"7","key":"poi250011r55","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.0056","article-title":"Five-year trends in US children\u2019s health and well-being, 2016-2020.","volume":"176","author":"Lebrun-Harris","year":"2022","journal-title":"JAMA Pediatr"},{"issue":"3","key":"poi250011r56","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-055291","article-title":"Child health status and health care use in grandparent- versus parent-led households.","volume":"150","author":"Joshi","year":"2022","journal-title":"Pediatrics"},{"key":"poi250011r57","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2023.113543","article-title":"Family and neighborhood resilience are associated with children\u2019s healthcare utilization.","volume":"261","author":"Omoladun-Tijani","year":"2023","journal-title":"J Pediatr"},{"issue":"11","key":"poi250011r59","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.2521","article-title":"Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial.","volume":"170","author":"Gottlieb","year":"2016","journal-title":"JAMA Pediatr"},{"issue":"7","key":"poi250011r60","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1001\/jamapediatrics.2022.0503","article-title":"Association of 2 social needs interventions with child emergency department use and hospitalizations: a secondary analysis of a randomized clinical trial.","volume":"176","author":"Pantell","year":"2022","journal-title":"JAMA Pediatr"},{"issue":"1","key":"poi250011r61","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1542\/peds.2014-2955","article-title":"Medical-legal strategies to improve infant health care: a randomized trial.","volume":"136","author":"Sege","year":"2015","journal-title":"Pediatrics"},{"issue":"1","key":"poi250011r63","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1056\/NEJMp1512532","article-title":"Accountable health communities\u2013addressing social needs through Medicare and Medicaid.","volume":"374","author":"Alley","year":"2016","journal-title":"N Engl J Med"},{"issue":"6","key":"poi250011r67","doi-asserted-by":"publisher","first-page":"S25","DOI":"10.1016\/j.amepre.2019.07.010","article-title":"Part I: a quantitative study of social risk screening acceptability in patients and caregivers.","volume":"57","author":"De Marchis","year":"2019","journal-title":"Am J Prev Med"},{"issue":"11","key":"poi250011r68","doi-asserted-by":"publisher","first-page":"1812","DOI":"10.2105\/AJPH.2017.304033","article-title":"Diagnostic accuracy of two food insecurity screeners recommended for use in health care settings.","volume":"107","author":"Makelarski","year":"2017","journal-title":"Am J Public Health"},{"issue":"7","key":"poi250011r69","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1097\/JOM.0b013e3181a86671","article-title":"How accurate are self-reports? analysis of self-reported health care utilization and absence when compared with administrative data.","volume":"51","author":"Short","year":"2009","journal-title":"J Occup Environ Med"},{"issue":"10","key":"poi250011r70","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002759","article-title":"Measuring resource utilization: a systematic review of validated self-reported questionnaires.","volume":"95","author":"Leggett","year":"2016","journal-title":"Medicine (Baltimore)"},{"issue":"3","key":"poi250011r71","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1016\/j.jval.2011.12.015","article-title":"Agreement between Internet-based self- and proxy-reported health care resource utilization and administrative health care claims.","volume":"15","author":"Palmer","year":"2012","journal-title":"Value Health"},{"issue":"4","key":"poi250011r72","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1097\/01.mlr.0000254576.26353.09","article-title":"Hospital episodes and physician visits: the concordance between self-reports and medicare claims.","volume":"45","author":"Wolinsky","year":"2007","journal-title":"Med Care"},{"issue":"5","key":"poi250011r73","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1001\/jama.2024.7616","article-title":"Why evidence generation should matter to payers and how they can help.","volume":"332","author":"Abbasi","year":"2024","journal-title":"JAMA"},{"issue":"4","key":"poi250011r77","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1377\/hlthaff.2019.01588","article-title":"Implementing community resource referral technology: facilitators and barriers described by early adopters.","volume":"39","author":"Cartier","year":"2020","journal-title":"Health Aff (Millwood)"},{"key":"poi250011r79","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.02.010","article-title":"Screening for interpersonal violence: missed opportunities and potential harms.","author":"De Marchis","journal-title":"Am J Prev Med"},{"key":"poi250011r8","volume-title":"Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation\u2019s Health","author":"National Academies of Sciences, Engineering, and Medicine"},{"key":"poi250011r58","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-19425-7","volume-title":"Regression Modeling Strategies: With Applications to Linear Models, Logistic and Ordinal Regression, and Survival Analysis","author":"Harrell","year":"2015"},{"key":"poi250011r78","volume-title":"Behavioral Risk Factor Surveillance System Survey Data","author":"US Centers for Disease Control (CDC)","year":"2018"},{"key":"poi250011r1","unstructured":"Center on Budget and Policy Priorities. SNAP is linked with improved health outcomes and lower health care costs. Accessed March 25, 2025. https:\/\/www.cbpp.org\/research\/food-assistance\/snap-is-linked-with-improved-health-outcomes-and-lower-health-care-costs"},{"key":"poi250011r9","unstructured":"The Joint Commission. New requirements to reduce health disparities. R3 report. Accessed March 25, 2025. https:\/\/www.jointcommission.org\/-\/media\/tjc\/documents\/standards\/r3-reports\/r3_disparities_july2022-6-20-2022.pdf"},{"key":"poi250011r10","unstructured":"Newsroom. HHS offers states flexibility to better address Medicaid enrollees\u2019 needs. Accessed March 25, 2025. https:\/\/www.cms.gov\/newsroom\/press-releases\/hhs-offers-states-flexibility-better-address-medicaid-enrollees-needs"},{"key":"poi250011r11","unstructured":"US Centers for Medicare and Medicaid Services. All-state Medicaid and CHIP call. Accessed March 25, 2025. https:\/\/www.medicaid.gov\/resources-for-states\/downloads\/covid19allstatecall12062022.pdf"},{"key":"poi250011r12","unstructured":"US Department of Health and Human Services. Call to action: addressing health-related social needs in communities across the nation. March 25, 2025. https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/3e2f6140d0087435cc6832bf8cf32618\/hhs-call-to-action-health-related-social-needs.pdf"},{"key":"poi250011r44","unstructured":"Cunningham? JM, Murphy? J. A year of Comer Care: annual report 2023. Accessed March 25, 2025. https:\/\/www.uchicagomedicine.org\/-\/media\/pdfs\/comer-pdfs\/comer-childrens-hospital-2023-annual-report.pdf"},{"key":"poi250011r45","unstructured":"US Census Bureau. 2017-2021 American Community Survey 5-year Data Tables. Accessed March 25, 2025. https:\/\/www.census.gov\/programs-surveys\/acs\/data\/data-tables.html"},{"key":"poi250011r46","unstructured":"ClinicalTrials.gov. CommunityRx for hunger: a hospital-based intervention. June 2, 2017. Accessed October 28, 2019. https:\/\/clinicaltrials.gov\/study\/NCT03173794"},{"key":"poi250011r49","unstructured":"Lindau? ST. CommunityRx for hunger. Accessed March 25, 2025. https:\/\/reporter.nih.gov\/project-details\/10079401"},{"key":"poi250011r50","unstructured":"United States Department of Agriculture. US household food security survey module: three-stage design, with screeners. Accessed March 25, 2025. https:\/\/www.ers.usda.gov\/media\/8271\/hh2012.pdf"},{"key":"poi250011r52","unstructured":"US Health Resources & Services Administration. National survey of children\u2019s health questionnaires, datasets, and supporting documents. Accessed March 25, 2025. https:\/\/mchb.hrsa.gov\/data-research\/national-survey-childrens-health\/nsch-questionnaires-datasets-supporting-documents"},{"key":"poi250011r62","unstructured":"International RTI. Evaluation of the health care innovation awards: community resource planning, prevention and monitoring, third annual report addendum. Accessed March 25, 2025. https:\/\/downloads.cms.gov\/files\/cmmi\/hcia-crppm-thirdannrptaddendum.pdf"},{"key":"poi250011r64","unstructured":"Roemer? M. Costs of treat-and-release emergency department visits in the United States, 2021. Accessed March 25, 2025. https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb311-ED-visit-costs-2021.pdf"},{"key":"poi250011r65","unstructured":"Weiss? AJ, Liang? L, Martin? K. Overview of hospital stays among children and adolescents, 2019. Accessed March 25, 2025. https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb299-Hospital-Stays-Children-2019.jsp"},{"key":"poi250011r66","unstructured":"Cartier? Y, Fichtenberg? C, Gottlieb? L. Community resource referrals platforms: a guide for health care organizations. Accessed March 27, 2025. https:\/\/sirenetwork.ucsf.edu\/tools-resources\/resources\/community-resource-referral-platforms-guide-health-care-organizations"},{"key":"poi250011r74","unstructured":"US Department of Agriculture. Benefits SNAP\u2014COVID-19 pandemic and beyond. Accessed November 3, 2021. https:\/\/www.fns.usda.gov\/snap\/benefit-changes-2021"},{"key":"poi250011r75","unstructured":"Karpman? M, Zuckerman? S, Gonzalez? D, Kenney? GM. The COVID-19 pandemic is straining families\u2019 abilities to afford basic needs. Accessed March 25, 2025. https:\/\/www.urban.org\/sites\/default\/files\/publication\/102124\/the-covid-19-pandemic-is-straining-families-abilities-to-afford-basic-needs_4.pdf"},{"key":"poi250011r76","unstructured":"US Centers for Disease Control and Prevention. Food and food system resources during COVID-19 pandemic. Accessed March 27, 2025. https:\/\/stacks.cdc.gov\/view\/cdc\/94053"}],"container-title":["JAMA Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/articlepdf\/2833315\/jamapediatrics_lindau_2025_oi_250011_1747411584.66276.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T15:01:10Z","timestamp":1748876470000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/fullarticle\/2833315"}},"subtitle":["A Randomized Clinical Trial"],"short-title":[],"issued":{"date-parts":[[2025,6,1]]},"references-count":79,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamapediatrics.2025.0484","relation":{},"ISSN":["2168-6203"],"issn-type":[{"value":"2168-6203","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6,1]]}}}