Food Insecurity: Physician Perspectives, Screening and Communication.

Introduction: Primary care physicians may perceive food insecurity (FI) as a difficult topic to address in health care encounters, resulting in at-risk patients not being identified. This exploratory study examines physician perspectives on how decisions to screen patients for FI are made, effective FI communication strategies, and barriers to screening.

Methods: Primary care physicians in the statewide, practice-based Iowa Research Network (IRENE) completed a study survey in May 2022 that included structured and open-ended questions regarding their experiences screening for FI. Thematic and descriptive analysis identified common themes in providers' experiences and perspectives.

Results: Although most physicians responding to the survey indicated that they have observed FI in their patient population, 27% have never observed FI in their practice. Physicians varied in their reasons for deciding to screen, with the most reported reason being "when it comes up in conversation." Common screening barriers among respondents included limited appointment time and feeling inadequately prepared to connect patients with resources. Respondents noted that negative experiences with FI screening were rare and noted positive experiences, including gratitude from the patient, and building patient-physician trust. Respondents shared normalizing phrases that helped address the additional obstacle of feeling inadequately prepared to assess FI in a tactful manner.

Conclusions: This study explored physicians' experiences with asking patients about FI and provides insight into FI screening gaps, barriers, and opportunities. Better understanding of physician attitudes and practices may help guide and address barriers to more effective and consistent FI screening.