ArticleInternational journal for equity in health2019
Exploratory study of "real world" implementation of a clinical poverty tool in diverse family medicine and pediatric care settings.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- The Paradoxes of Social Care: Reframing Apparent Conflicts.Annals of family medicine · 2026Pooled it
- Trial
- Screening for financial vulnerability in a paediatric hospital setting: a pilot study of the Financial Risk Questionnaire (FRIQuest).European journal of pediatrics · 2026Article
- 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
- Evaluating screening and intervention for poverty in family practice settings in Saskatchewan in the context of the COVID-19 pandemic.Primary health care research & development · 2026Article
- Opening Pandora's box - key facilitators of practice change in detecting and responding to childhood adversity - a practitioner perspective.BMC pediatrics · 2024Article
- Co-design workshops with families experiencing multiple and interacting adversities including parental mental health, substance use, domestic violence, and poverty: intervention principles and insights from mothers, fathers, and young people.Research involvement and engagement · 2024Article
- Making ends meet - relating a self-reported indicator of financial hardship to health status.Journal of public health (Oxford, England) · 2023Article
- Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review.Nursing reports (Pavia, Italy) · 2023Review
- Pandemic checkups: Mobile paediatric care and vaccination in disadvantaged areas.Paediatrics & child health · 2022Article
- 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
- Should we screen for poverty in primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Implementation of targeted screening for poverty in a large primary care team in Toronto, Canada: a feasibility study.BMC family practice · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoverty is associated with increased morbidity related to multiple child and adult health conditions and increased risk of premature death. Despite robust evidence linking income and health, and some recommendations for universal screening, poverty screening is not routinely conducted in clinical care.
methodsWe conducted an exploratory study of implementing universal poverty screening and intervention in family medicine and a range of pediatric care settings (primary through tertiary). After attending a training session, health care providers (HCPs) were instructed to perform universal screening using a clinical poverty tool with the question "Do you ever have difficulty making ends meet at the end of the month?" for the three-month implementation period. HCPs tracked the number of patients screened and a convenience sample of their patients were surveyed regarding the acceptability of being screened for poverty in a healthcare setting. HCPs participated in semi-structured focus groups to explore barriers to and facilitators of universal implementation of the tool.
resultsTwenty-two HCPs (10 pediatricians, 9 family physicians, 3 nurse practitioners) participated and 150 patients completed surveys. Eighteen HCPs participated in focus groups. Despite the self-described motivation of the HCPs, screening rates were low (9% according to self-reported numbers). The majority of patients either supported (72%) or were neutral (22%) about the appropriateness of HCPs screening for and intervening on poverty. HCPs viewed poverty as relevant to clinical care but identified time constraints, physician discomfort, lack of expertise and habitual factors as barriers to implementation of universal screening.
conclusionsPoverty screening is important and acceptable to clinicians and patients. However, multiple barriers need to be addressed to allow for successful implementation of poverty screening and intervention in health care settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.