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Research ArticleOriginal Research

Utilization Patterns of a Food Referral Program: Findings from the Mid-Ohio Farmacy

Daniel M. Walker, Matthew J. DePuccio, Jennifer L. Hefner, Jennifer A. Garner, Joshua J. Joseph, Amy Headings and Aaron Clark
The Journal of the American Board of Family Medicine November 2021, 34 (6) 1174-1182; DOI: https://doi.org/10.3122/jabfm.2021.06.210036
Daniel M. Walker
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
PhD, MPH
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Matthew J. DePuccio
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
PhD, MS
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Jennifer L. Hefner
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
PhD, MPH
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Jennifer A. Garner
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
PhD, RD
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Joshua J. Joseph
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
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Amy Headings
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
PhD, RD
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Aaron Clark
From the Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH (DMW, AC); The Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST), College of Medicine, The Ohio State University, Columbus, OH (DMW, MJD); Department of Health Services Management and Policy, College of Public Health, The Ohio State University, Columbus, OH (JLH); School of Health and Rehabilitation Sciences, College of Medicine and The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH (JAG); Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH (JJJ); Mid-Ohio Food Collective, Grove City, OH (AH).
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Abstract

Introduction: There is limited evidence describing utilization of clinic-based food referral programs intended to support healthy eating for food-insecure patients. To address this gap, this study aims to describe the utilization of the Mid-Ohio Farmacy (MOF). MOF is a partnership between a regional foodbank and local health care providers, including an academic medical center (AMC), that enables referrals of patients that experience food insecurity to a network of participating food pantries.

Methods: This observational study uses data from 2 AMC family medicine clinics that offered the MOF referral from September 2019 to November 2020. Patients who screened positive for food insecurity and had an eligible chronic disease (eg, diabetes, hypertension, obesity) were referred to the MOF. We compared demographic and clinical characteristics of patients that filled their referral (ie, visitors) to those that did not (ie, non-visitors). Among visitors, we also assessed patterns of pantry utilization.

Results: In total, 51% (164 of 322) of patients referred to the MOF visited a food pantry at least once. Visitors were more likely to be older, have diabetes, and have visited a food pantry before their referral. Patients with uncontrolled hypertension were less likely to visit a food pantry following their referral. Patients that had visited a food pantry before their referral had more visits in total and more produce-specific visits following their referral.

Conclusions: Our results suggest that while the MOF can connect patients to food resources, further attention may be needed to encourage its use among patients who have not previously accessed pantries.

  • Family Medicine
  • Food Insecurity
  • Healthy Diet
  • Ohio
  • Referral and Consultation
  • Social Determinants of Health
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The Journal of the American Board of Family   Medicine: 34 (6)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 6
November/December 2021
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Utilization Patterns of a Food Referral Program: Findings from the Mid-Ohio Farmacy
Daniel M. Walker, Matthew J. DePuccio, Jennifer L. Hefner, Jennifer A. Garner, Joshua J. Joseph, Amy Headings, Aaron Clark
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1174-1182; DOI: 10.3122/jabfm.2021.06.210036

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Utilization Patterns of a Food Referral Program: Findings from the Mid-Ohio Farmacy
Daniel M. Walker, Matthew J. DePuccio, Jennifer L. Hefner, Jennifer A. Garner, Joshua J. Joseph, Amy Headings, Aaron Clark
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1174-1182; DOI: 10.3122/jabfm.2021.06.210036
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Keywords

  • Family Medicine
  • Food Insecurity
  • Healthy Diet
  • Ohio
  • Referral and Consultation
  • Social Determinants of Health

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