A case study of care co‐ordination between primary care providers and nurse home visitors to serve young families experiencing adversity in the Northwestern United States
| Autor: | David L. Olds, Mandy A. Allison, Gregory J. Tung, Venice Ng Williams, Connie Cignetti Lopez |
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| Rok vydání: | 2021 |
| Předmět: |
Postnatal Care
medicine.medical_specialty Sociology and Political Science Service delivery framework Mothers Primary care Nurses Community Health 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Health care Social needs medicine Humans 030212 general & internal medicine Child Service (business) Primary Health Care Social work business.industry 030503 health policy & services Health Policy Public health Public Health Environmental and Occupational Health House Calls Female Ordination 0305 other medical science Psychology business Social Sciences (miscellaneous) |
| Zdroj: | Health & Social Care in the Community. 30:1400-1411 |
| ISSN: | 1365-2524 0966-0410 |
| Popis: | Nurse home visitors in Nurse-Family Partnership® (NFP) work with mothers experiencing social and economic adversities to improve their and their children's health. Collaboration between nurse home visitors and primary care providers (PCPs: healthcare providers and social workers embedded within obstetrics, paediatrics and family medicine practices) can improve service delivery for families experiencing the greatest adversities. However, little is known about how and to what extent PCPs collaborate with home visiting nurses. We conducted a single exploratory case study between April 2019 and February 2020 to better understand how PCPs collaborate with home visiting nurses to meet family needs in one NFP site, purposefully selected for strong collaboration. We conducted in-depth qualitative interviews with 22 PCPs, including 5 nurses, 7 physicians, 7 social workers and 3 non-direct care professionals, including patient navigator and hospital executives. Interviews were recorded, transcribed, validated and coded inductively. Codes were grouped into broader categories and thematic memos across provider role were written to triangulate perspectives. Healthcare providers interacted with home visiting nurses mainly during the referral process, while social workers provided more specific examples of service co-ordination. In this case study, we saw mutual awareness, co-operation and collaboration to serve families with high needs. Even in this case, purposefully selected to represent strong collaboration, there were opportunities to enhance co-ordination to improve the health and social needs of young families experiencing adversity. |
| Databáze: | OpenAIRE |
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