{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:14:01Z","timestamp":1790255641987,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction\/Objectives:<\/jats:title>\n                    <jats:p>Social determinants of health (SDoH) screening and intervention in pediatric primary care depends upon caregiver disclosure of adverse household or social conditions and thus may be influenced by perceived bias or stigma. This paper examines to what extent parents\u2019 experience of their child\u2019s medical home is associated with their perceptions of a practice-based social needs intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cohort study of data reported by 73 parents of children obtaining care in a medical home with an embedded SDoH navigation program. Using survey data collected in October 2021 and October 2022, we calculated descriptive statistics and non-parametric bivariate analyses of the association between engagement with the SDoH navigation program and parent-reported social needs, stress, and perception of care quality as measured by the Person-Centered Primary Care Measure (PCPCM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Initial ratings of care quality were high (mean baseline PCPCM score\u2009=\u20093.63) and remained high on second interview (mean change in PCPCM score\u2009=\u2009\u22120.04, 95%CI \u22120.16, 0.09, P\u2009=\u2009.58) despite significant reductions in parents\u2019 ratings of access to care over time. Parents reported substantial stress, unmet social needs, and unmet healthcare needs, with 41 families (56%) ever using the practice-based SDoH program, including 16 (22%) who were new users in 2022. There was no association observed between PCPCM score and parent stress, unmet social needs, or use of SDoH services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Parents\u2019 perceptions of care delivered in their child\u2019s medical home appears to be stable on repeat measurement, and independent of family context or interactions with social needs navigation services offered in the practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319241255917","type":"journal-article","created":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T11:19:50Z","timestamp":1716031190000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Social Needs Screening and Intervention in Pediatric Primary Care: Impact on Families\u2019 Experience of Care"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1827-9460","authenticated-orcid":false,"given":"Sarah D.","family":"Ronis","sequence":"first","affiliation":[{"name":"UH Rainbow Center for Child Health & Policy, Cleveland, OH, USA"},{"name":"Case Western Reserve University School of Medicine, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Masotya","sequence":"additional","affiliation":[{"name":"UH Rainbow Center for Child Health & Policy, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevieve","family":"Birkby","sequence":"additional","affiliation":[{"name":"UH Rainbow Babies and Children\u2019s Ahuja Center for Women & Children, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt C.","family":"Stange","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,18]]},"reference":[{"key":"bibr1-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2680"},{"key":"bibr2-21501319241255917","volume-title":"Advancing health equity by addressing the social determinants of health in family medicine (position paper)","author":"American Academy of Family Physicians","year":"2019"},{"key":"bibr3-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0235"},{"key":"bibr4-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.12.002"},{"key":"bibr5-21501319241255917","doi-asserted-by":"crossref","unstructured":"Byhoff E, Gottlieb LM. When There Is Value in Asking: An Argument for Social Risk Screening in Clinical Practice. 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Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Accessed July 17, 2022. https:\/\/www.childhealthdata.org"},{"key":"bibr21-21501319241255917","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2017.304033"},{"key":"bibr22-21501319241255917","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"bibr23-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21482"},{"key":"bibr24-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1177\/1359105313508346"},{"key":"bibr25-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2592"},{"key":"bibr26-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2393"},{"key":"bibr27-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2020.12.006"},{"key":"bibr28-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2697"},{"key":"bibr29-21501319241255917","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988","edition":"2"},{"key":"bibr30-21501319241255917","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2022.04.210427"},{"key":"bibr31-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08721-9"},{"key":"bibr32-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05397-6"},{"key":"bibr33-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08692-x"},{"key":"bibr34-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2022.07.002"},{"key":"bibr35-21501319241255917","doi-asserted-by":"publisher","DOI":"10.1097\/mlr.0000000000001235"},{"key":"bibr36-21501319241255917","doi-asserted-by":"publisher","DOI":"10.18865\/ed.31.1.89"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319241255917","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319241255917","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319241255917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:22:33Z","timestamp":1777508553000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319241255917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":36,"alternative-id":["10.1177\/21501319241255917"],"URL":"https:\/\/doi.org\/10.1177\/21501319241255917","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"21501319241255917"}}