Poster Session 4
Category: Health Equity/Community Health
Poster Session 4
Shayla Parthasarathy, BS (she/her/hers)
University of Michigan Medical School
Ann Arbor, Michigan, United States
Jessica Yaser, MPH
University of Michigan Medical Center
Ann Arbor, Michigan, United States
Rinat Tal, BA
University of Michigan Medical School
Ann Arbor, Michigan, United States
Rachel A. Clark, MD (she/her/hers)
OBGYN Resident
Trinity Health - Ann Arbor Hospital
Ann Arbor, Michigan, United States
Briaa Baldwin, BS, MPH
Senior Project Manager
University of Michigan
University of Michigan, Michigan, United States
Annise Reynolds, BS
University of Michigan
Ann Arbor, Michigan, United States
Caitlyn Clock, MPH
University of Michigan
Ann Arbor, Michigan, United States
Michelle Moniz, MD, MSc (she/her/hers)
Associate Professor
University of Michigan
University of Michigan, Michigan, United States
Jourdan E. Triebwasser, MA, MD (she/her/hers)
Clinical Associate Professor
University of Michigan
Ann Arbor, Michigan, United States
Lisa Kane Low, CNM, PhD (she/her/hers)
Sr Associate Dean Professional Graduate Studies and Professional Relations
University of Michigan
Ann Arbor, Michigan, United States
Alex Peahl, MD, MSc (she/her/hers)
Assistant Professor of Obstetrics and Gynecology
University of Michigan Department of Obstetrics & Gynecology
Ann Arbor, Michigan, United States
Prenatal clinics in Michigan were identified through web searches and snowball sampling. Semi-structured surveys were completed with a clinical and administrative lead for 58 clinics to assess their clinic practices for tailored prenatal care components, including systematic screening for unmet social needs. We assessed characteristics of clinics that did and did not use systematic screening, including clinic structure (Federally Qualified Health Centers, outpatient clinics linked to hospitals, and private practices) and clinic patient volume, using Fisher’s exact tests of comparison.
Results:
Of the 58 clinics represented, 51 (51/58, 88%) screened for unmet social needs, with 42 (42/58, 72%) utilizing a standardized screening tool. Clinic structure was associated with systematic screening for unmet social needs (p = 0.004), with higher rates for Federally Qualified Health Centers (FQHCs) and clinics linked with hospitals. Clinic patient volume was not associated with systematic screening (p = 0.9).
Conclusion:
Many prenatal clinics in Michigan systematically screen patients for unmet social needs. Some clinics, such as FQHCs and outpatient clinics linked to hospitals, may have more robust infrastructure for completing systematic screening. Further work is needed to identify context specific supports needed to implement social needs screening for tailoring prenatal care.