Pediatrician Preparedness and Referrals to Resources for Children in Immigrant Families.

IF 2.8 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2026-09-17 DOI:10.1016/j.acap.2026.103447

Julia Rosenberg, William H Burr, Chloe A Somberg, William L Cull, Karla Fredricks

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引用次数: 0

Abstract

Objective: To identify characteristics associated with (1) pediatrician preparedness to provide care for children in immigrant families (CIF) and (2) referrals to resources for health-related social needs (HRSNs).

Methods: We analyzed the 2023 American Academy of Pediatrics Periodic Survey to assess association of pediatrician and practice characteristics with (1) preparedness to care for CIF and (2) referrals for six types of HRSNs (social services, federal/state programs, early childhood development, health insurance, legal/immigration-related services, adult English language programs). After bivariate analyses identified significant modifiable practice characteristics, we conducted multivariable analyses to determine associations with: (1) pediatrician preparedness, (2) providing referrals for HRSNs, and (3) individual types of referrals.

Results: Of 488 respondents (response rate 33%), only 49% reported feeling moderately/very prepared to care for CIF, despite having 26% CIF (on average) in their practices. Modifiable practice factors were: offering written materials in the patient's primary language, hiring bilingual/multilingual staff, having professional interpreters, and having care coordination. Factors associated with higher number of referral types were: written materials in primary language (estimated marginal mean referrals 2.94 vs 2.07, p<0.001), bilingual/multilingual staff (3.04 vs 2.46, p<0.001) and care coordination (2.85 vs 2.40, p<0.01). Modifiable characteristics were also independently associated with specific referrals, particularly to federal/state programs and social services. Factors associated with improved pediatrician preparedness were bilingual/multilingual staff [aOR 1.92 (95%CI 1.17,3.17)] and care coordination [aOR 1.89 (95%CI 1.10,3.23)].

Conclusions: Ensuring adequate linguistic support and dedicated care coordination may strengthen pediatrician preparedness, facilitate HRSN referrals and, ultimately, improve quality of care for CIF.

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儿科医生准备和转介资源为移民家庭的儿童。

目的：确定(1)儿科医生为移民家庭（CIF）儿童提供护理的准备(2)转介到与健康相关的社会需求资源（HRSNs）相关的特征。方法：我们分析了2023年美国儿科学会定期调查，以评估儿科医生和实践特征与(1)CIF护理准备和(2)六种HRSNs（社会服务、联邦/州计划、儿童早期发展、健康保险、法律/移民相关服务、成人英语语言计划）转介的关系。在双变量分析确定了显著的可修改实践特征后，我们进行了多变量分析，以确定与：(1)儿科医生准备，(2)为HRSNs提供转诊，以及(3)转诊的个体类型之间的关系。结果：在488名受访者中（回复率为33%），尽管在他们的实践中有26%的CIF（平均），但只有49%的人表示对CIF有中等或非常好的准备。可修改的实践因素是：提供患者主要语言的书面材料，雇用双语/多语工作人员，拥有专业口译员，并进行护理协调。与更多转诊类型相关的因素有：主要语言的书面材料（估计边际平均转诊数2.94 vs 2.07）。结论：确保足够的语言支持和专门的护理协调可以加强儿科医生的准备，促进HRSN转诊，并最终提高CIF的护理质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.