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. 2023 Dec 27;12:e128. doi: 10.1017/jns.2023.111

Table 1.

Description of Healthcare-based food assistance programmes

First author, year Location in U.S. Type of healthcare institution Programme overview Programme participation duration Patient eligibility
Adams, 2021(32) & Dunn, 2021(33) Revere, MA Community Healthcare system Free produce market Ongoing No eligibility requirements
Aiyer, 2019(34) North Pasadena, TX Federally qualified health center Fruit and vegetable prescription program 6 months 18+, Food insecure based on two-question clinic screener, residing in one of three target zip codes
Beck, 2014(35) Cincinnati, OH Urban academic pediatric primary care clinic adjacent to Cincinnati Children's Medical Center Screening, Provision of Infant Formula, Referral Ongoing Families with children <12 months with food insecurity (answered yes to at least one of two screening questions), or failure to thrive. Clinical provider given latitude to deem eligible.
Berkowitz, 2021(36) & Xie, 2021(37) North Carolina Nine primary care clinics (primarily Federally qualified health centers) SNAP subsidy for fruits and vegetables 6 months 18+, current SNAP beneficiaries and identified by staff at primary care clinic as ‘likely to benefit from programme b/c of health status’
Blitstein, 2020(38) ‘Large Midwest City’ Federally qualified health centers Screening, referral, nutrition education, enrollment assistance Ongoing Diagnosis of diabetes [All participants received intervention regardless of food insecurity status]
Bryce, 2017(39) Detroit, MI Federally qualified health center Fruit and vegetable prescription program 13 weeks FQHC patients with diabetes mellitus, hypertension, obesity, hyperlipidaemia, pregnant or with children, and have limited access to fruits and vegetables
Cavanagh, 2017(40) Upstate NY Community clinic Fruit and vegetable prescription program 13 weeks, can receive additional 13 weeks if all coupons used Low income persons with at risk or with obesity, hypertension, or diabetes
Cohen, 2017(41) & 2019(42) Ypsilanti, MI Ypsilanti Health Center primary care clinic Waiting room intervention encouraging Double Up Food Bucks use One-time 18+, currently SNAP enrolled, self-identified as a primary food shopper for household
Cook, 2021(43) & Newman, 2021(23) Atlanta, Athens, Augusta, GA Primary care clinics Produce Prescription programme with nutrition education 6 months SNAP-eligible and/or screen positive for food insecurity on USDA 2-item screener and diagnosed for one or more condition: overweight/obesity, diabetes mellitus, pre-diabetes, hypertension, or hyperlipidaemia
Esquivel, 2020(44) Rural community near Honolulu, HI Federally qualified health center pediatric clinic Fruit and vegetable prescription program, on-site farmer's market (pre-existing) 3 months Children aged 2–17 with ‘poor nutrition’ based on growth assessment or BMI% < 5 % or >85 %.
Ferrer, 2019(15) San Antonio, TX Primary care practice Nutrition education and free box of food 6 months A1c > 9 %, screen positive for food insecurity on Hunger Vital Sign
Gany, 2020(12) NYC, NY Outpatient Cancer Clinics Co-located medically-tailored food pantries at clinics Throughout treatment/Ongoing Screen positive for food insecurity on USDA household food insecurity survey
Ghouse, 2020(45) Michigan Primary care clinic Nutrition education and free bag of food 6 weeks Pre-diabetic (A1c 5⋅7–6⋅4 %), screen positive for food insecurity using USDA 5-item, able to converse in English
Greenthal, 2019(46) Northeastern US Academic urban safety-net hospital Medically-tailored food pantry Ongoing Patients who screen positive for food insecurity in hospital's outpatient clinics
Hager, 2020(47) Minneapolis, MN Safety-net Medical Center hospital, outpatient clinics, and community primary care clinics EMR Hunger Vital Sign screening and auto-faxed referral to food bank partner, food bank calls patient to provide assistance with obtaining food assistance in the community One-time Screen positive for food insecurity on Hunger Vital Sign
Izumi, 2020(48) Multnomah County, OR Federally qualified health center safety-net clinic Subsidised Community-Supported Agriculture 23 weeks English and Spanish-speaking who receive services at the FQHC.
Jones, 2020(49) Navajo Nation, NM 19 HC facilities in Navajo Nation (range from small clinics to hospitals) Fruit and vegetable prescription program 6 months Families with pregnant woman or children </=6 years. Some sites used Indian Health Services Food Insecurity Screening Questionnaire to specifically enroll food insecure families.
Knowles, 2018(50) Philadelphia, PA Academic medical center pediatric primary care outpatient clinics Screening, Referral, Benefits eligibility screening and application assistance One-time Pediatric patients of center clinics who screen positive for food insecurity
Kulie, 2021(51) Washington, DC Urban academic Emergency Department Screening, Referral One-time 18+, non-life threatening emergency severity index score, insured by DC Medicaid and approved for ED discharge, English-speaking
Milliron, 2017(52) North Carolina Urban outpatient clinic (free or reduced price services) Community garden Ongoing None
Mirsky, 2021(53) Revere, MA Community-based academic medical center On-site plant-based food pantry 12 weeks* original plan that was altered due to COVID-19 in March 2020 Food insecure with diagnosis of obesity, hypertension, or diabetes mellitus. Pilot pts were English-speaking only.
Morales, 2016(54) Chelsea, MA Community health center Screening, enrollment assistance and pantry info One-time Pregnant women 18+ receiving care at the health center
Paolantonio, 2020(55) NYC, NY Four cancer clinics Food voucher program 6 months 18+, able to answer survey questions in English or Spanish, living independently, score low or very low for food insecurity on the USDA Household Food Security Screener, be within 2 weeks of starting radiation or 1 month of starting chemo. Those receiving or applying for SNAP were ineligible.
Sastre, 2021(18) Greenville, NC Academic medical center inpatient Hospital-based Medical Food Pantry One-time Screen positive for food insecurity on Hunger Vital Sign
Saxe-Custack, 2018(56) & 2019(57) Flint, MI University-affiliated residency training pediatric clinic Fruit and vegetable prescription program Ongoing All pediatric patients of practice [all receive Rx regardless of need]
Schlosser, 2019a(58); Schlosser, 2019b(59); & Joshi, 2019(60) Cuyahoga County, OH Three safety-net clinics Produce Prescription Program 3 months Patient of clinic positive for food insecurity on 2-item screen and diagnosis of hypertension
Slagel, 2021(61) Athens, GA ‘Clinics’ Produce Prescription programme with nutrition education 6 months 18+, SNAP-eligible or otherwise underserved, with a dx of at least one condition: overweight/obesity, diabetes mellitus, pre-diabetes, hypertension, or hyperlipidaemia
Smith, 2017(62) San Diego, CA Student-run free clinic associated with medical school Food Insecurity Screening and Referral with federal programme sign-up assistance, food provided only for patients with DM One-time; *Patients with diabetes received food bag monthly for unknown amount of time 18+ and patient of student-run free clinics
Stenmark, 2018(63) Colorado Two pediatric clinics Screening, Referral, Assistance signing up for fed asst programmes One-time Patient of clinic, screen positive for food insecurity on Hunger Vital Sign
Stotz, 2019(64) Georgia Safety-net clinic Nutrition education, 12-week receipt of one bag of locally-grown produce 12 weeks Adults eligible for SNAP-Ed living in households below 185 % federal poverty level (as evidenced by enrollment in safety-net clinic) and diagnosis of diabetes mellitus, hypertension, &/or hyperlipidaemia
Veldheer, 2021(65) Reading, PA Primary care clinic in community-based hospital Fruit and vegetable prescription program 7 months A1c >= 7 %, adults >18 years, BMI >= 25
Walker, 2021(66) ‘Large metropolitan region in Ohio’ Two community-based family medicine practices within an academic medical center Screening, Referral, Vouchers 90 days 18+, patients of primary care clinics, screen positive for food insecurity, and meet clinical criteria, including diagnosis of diabetes mellitus, obesity, hypertension, HgbA1c > 9 %, or pregnant w/ gestational diabetes
Weinstein, 2014(67) Bronx, NY Primary care or diabetes clinics at urban public hospital Nutrition education and food voucher One-time >18 years and established patient on clinics, with diagnosis of type 2 diabetes mellitus, BMI > 25, A1c > 7 %
Wetherill, 2018(68) Oklahoma Two academic medical center-affiliated free clinics Nutrition education and free box of food 6 months Any patient of affiliated clinics
Wynn, 2021(63) Cook County, IL Large urban academic medical center – three inpatient units for pilot Screening for SDOH, paper referral, bag of non-perishable food One-time Inpatient on participating floors, screen positive for food insecurity on Hunger Vital Sign