Marcella K. Jones|Gary Bloch|Andrew D. Pinto
A novel income security intervention to address poverty in a primary care setting: a retrospective chart review
University of Toronto|Faculty (United Kingdom)|University of Toronto|Community Medical Center|Community Medical Center|Health Solutions (Sweden)|University of Toronto|3M (United States)
objective examine development implementation novel income security intervention primary care design retrospective descriptive chart review patients referred income security heath promotion service first year service december 2013december 2014 setting multisite interdisciplinary primary care organisation inner city toronto canada serving 40 000 patients participants study population included 181 patients 53 female mean age 48 years referred income security health promotion service engaged care intervention income security health promotion service consists trained health promoter provides mixture expert advice case management patients improve income security advisory group made physicians social workers community engagement specialist clinical manager supports service outcome measures sociodemographic information health status referral information encounter details collected patient charts results encounters focused helping patients increasing income 774 reducing expenses 586 improving financial literacy 265 health promoter provided array services patients including assistance taxes connecting community services budgeting accessing free services service could improved specific goal setting better links members healthcare team implementing routine followup patient discharge conclusions income security health promotion novel service within primary care assist vulnerable patients key social determinant health study preliminary look understanding functioning service future research examine impact income security health promotion service income security financial literacy engagement health services health outcomes