Feasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers
| Autor: | Cynthia S. Minkovitz, Katherine A. Connor, Gabriela Duran, Mariam Faiz-Nassar, Kristin Mmari |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Health Personnel media_common.quotation_subject Mothers Federal Government Health Promotion Peer support Affect (psychology) White People Interviews as Topic Nonprobability sampling 03 medical and health sciences 0302 clinical medicine Nursing Stakeholder Participation 030225 pediatrics Humans Medicine Maternal Health Services Quality (business) 030212 general & internal medicine Child Care Child media_common business.industry Stakeholder Infant Social Support Community Health Centers Black or African American Child Preschool Baltimore Pediatrics Perinatology and Child Health Female Thematic analysis business Attitude to Health Qualitative research Dyad |
| Zdroj: | Academic Pediatrics. 18:510-515 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2017.09.011 |
| Popis: | Objective Group care has been shown to be effective for delivery of infant well child care. Centering Parenting (CP) is a model of group dyad care for mothers and infants. CP might improve quality and efficiency of preventive care, particularly for low-income families. Federally qualified health centers (FQHCs) might be optimal sites for implementation, however, facilitators and barriers might be unique. The aim of this qualitative study was to assess stakeholder perspectives on the feasibility of implementing CP in FQHCs in Baltimore. Methods Semistructured interviews were conducted with mothers, clinicians, staff, and administrators recruited from 2 FQHCs using purposive sampling. Interviews were recorded, transcribed verbatim, and uploaded to Atlas.ti version 7.0 (Atlas.ti Scientific Software Development, GmbH Berlin, Germany) for analysis. Using an inductive thematic analysis approach, 2 investigators coded the transcripts. Matrices of key codes were developed to identify themes and patterns across stakeholder groups. Results Interviews were completed with 26 mothers and 16 clinicians, staff, and administrators. Most participants considered CP desirable. Facilitators included: peer support and education, emphasis on maternal wellness, and increased patient and clinician satisfaction. Barriers included: exposure to "others," scheduling and coordination of care, productivity, training requirements, and cost. Parenting experience did not appear to affect perspectives on CP. Conclusions Perceptions regarding facilitators and barriers to CP implementation in FQHCs are similar to existing group well-child care literature. The benefit of emphasis on maternal wellness is a unique finding. Maternal wellness integration might make CP a particularly desirable model for implementation at FQHCs, but potential systems barriers must be addressed. |
| Databáze: | OpenAIRE |
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