ArticleBMJ open2017
A novel income security intervention to address poverty in a primary care setting: a retrospective chart review.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Employment Interventions in Health Settings: A Systematic Review and Synthesis.Annals of family medicine · 2018Pooled it
- Income Security Health Promotion: Addressing Patients' Unmet Income Needs in a Toronto Family Practice, a Qualitative Study.International journal of social determinants of health and health services · 2026Article
- Article
- A medical-financial partnership to address financial health for children with neurodevelopmental disability.Paediatrics & child health · 2025Article
- The Generative Mechanisms of Financial Strain and Financial Well-Being: A Critical Realist Analysis of Ideology and Difference.International journal of health policy and management · 2023Review
- Article
- Implementing social interventions in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Review
- Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature.International journal for equity in health · 2021Article
- Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care.Annals of family medicine · 2020Article
- Exploratory study of "real world" implementation of a clinical poverty tool in diverse family medicine and pediatric care settings.International journal for equity in health · 2019Article
- Screening for poverty and intervening in a primary care setting: an acceptability and feasibility study.Family practice · 2019Article
- Framework for building primary care capacity to address the social determinants of health.Canadian family physician Medecin de famille canadien · 2017Article
- Article
- The Complexity of Living with Diabetes and Urinary Incontinence for Older Adults with Multiple Chronic Conditions Receiving Home Care Services: An Interpretive Description Study.Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the development and implementation of a novel income security intervention in primary care.
designA retrospective, descriptive chart review of all patients referred to the Income Security Heath Promotion service during the first year of the service (December 2013-December 2014).
settingA multisite interdisciplinary primary care organisation in inner city Toronto, Canada, serving over 40 000 patients.
participantsThe study population included 181 patients (53% female, mean age 48 years) who were referred to the Income Security Health Promotion service and engaged in care.
interventionThe Income Security Health Promotion service consists of a trained health promoter who provides a mixture of expert advice and case management to patients to improve income security. An advisory group, made up of physicians, social workers, a community engagement specialist and a clinical manager, supports the service. OUTCOME MEASURES: Sociodemographic information, health status, referral information and encounter details were collected from patient charts.
resultsEncounters focused on helping patients with increasing their income (77.4%), reducing their expenses (58.6%) and improving their financial literacy (26.5%). The health promoter provided an array of services to patients, including assistance with taxes, connecting to community services, budgeting and accessing free services. The service could be improved with more specific goal setting, better links to other members of the healthcare team and implementing routine follow-up with each patient after discharge.
conclusionsIncome Security Health Promotion is a novel service within primary care to assist vulnerable patients with a key social determinant of health. This study is a preliminary look at understanding the functioning of the service. Future research will examine the impact of the Income Security Health Promotion service on income security, financial literacy, engagement with health services and health outcomes.
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