Nearly 1 in 5 families with children in the United States are food insecure. Hospitalization of a child can exacerbate food insecurity, both during the hospitalization and after discharge. Although some hospitals provide free or subsidized meals during hospitalization, few address food insecurity in the immediate posthospitalization period. To address this gap, we developed an innovative Inpatient Food Pharmacy program. This program offers families of hospitalized children experiencing food insecurity a choice of 1 week of prepared meals, 6 months of monthly produce delivery, or both, after discharge. Our goals were to assess program enrollment, understand family preferences, and evaluate the program's feasibility and acceptability. Among 120 eligible families, 71 (59%) enrolled. Fifty-five families (77%) chose both prepared meals and produce delivery, 13 (18%) chose prepared meals only, and 3 (4%) chose produce delivery only. The program successfully delivered 6972 prepared meals and 348 boxes of produce over 10 months. Follow-up calls reached 41 (58%) of enrolled families, all of whom reported that the program met their acute food needs. Feedback from families and resource navigators suggested the program was acceptable. We aim to advocate for sustainable funding for food delivery for children and families experiencing food insecurity at 3 levels (1) institutionally, through our hospital's community benefit spending, (2) statewide, through a proposed Medicaid Section 1115 waiver providing grocery delivery to Medicaid-insured pregnant and postpartum individuals and their families, and (3) federally, through the Special Supplemental Nutrition Program for Women, Infants, and Children and the Supplemental Nutrition Assistance Program.

中文翻译：

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家庭食品配送解决出院后的粮食不安全问题。


在美国，近五分之一的有孩子的家庭处于粮食不安全状态。儿童住院会加剧住院期间和出院后的粮食不安全。尽管一些医院在住院期间提供免费或补贴膳食，但很少有医院在住院后立即解决粮食不安全问题。为了解决这一差距，我们制定了一项创新的住院食品药房计划。该计划为面临粮食不安全的住院儿童的家庭提供出院后 1 周的预制餐、6 个月的每月农产品配送或两者兼而有之的选择。我们的目标是评估项目注册情况，了解家庭偏好，并评估项目的可行性和可接受性。在 120 个符合条件的家庭中，有 71 个 （59%） 入学。55 个家庭 （77%） 同时选择了预制餐和农产品外卖，13 个家庭 （18%） 只选择预制餐，3 个家庭 （4%） 只选择农产品外卖。该计划在 10 个月内成功交付了 6972 份预制餐和 348 箱农产品。随访电话覆盖了 41 个 （58%） 登记家庭，他们都报告说该计划满足了他们的紧急食物需求。来自家庭和资源导航员的反馈表明该计划是可以接受的。我们的目标是在 3 个层面倡导为面临粮食不安全的儿童和家庭提供可持续的食品配送资金：（1） 在机构上，通过我们医院的社区福利支出，（2） 在全州范围内，通过拟议的医疗补助第 1115 节豁免，为医疗补助保险的孕妇和产后个人及其家人提供杂货配送服务，以及 （3） 在联邦范围内，通过妇女特殊补充营养计划， 婴儿和儿童以及补充营养援助计划。