Towards integrated paediatric services in the Netherlands: a survey of views and policies on collaboration in the care for children with cerebral palsy

Autor: B. J. G. Nijhuis, Johan W. Groothoff, A. C. E. de Blecourt, Heleen A. Reinders-Messelink, Klaas Postema, Han Nakken, W. G. Olijve, N. Haga
Přispěvatelé: Public Health Research (PHR), Extremities Pain and Disability (EXPAND), SMART Movements (SMART)
Rok vydání: 2007
Předmět:
Male
REHABILITATION
TEAMS
TEAMWORK
medicine.medical_treatment
media_common.quotation_subject
Child Health Services
education
education.educational_degree
Special education
Habilitation
Family centered care
Cerebral palsy
interagency collaboration
Nursing
Professional-Family Relations
Developmental and Educational Psychology
Humans
service organization
HABILITATION
Medicine
Family
Child
parent participation
FAMILY-CENTERED CARE
Netherlands
special education
media_common
Patient Care Team
Teamwork
Rehabilitation
Delivery of Health Care
Integrated
business.industry
Cerebral Palsy
Public Health
Environmental and Occupational Health
Stakeholder
medicine.disease
Patient Satisfaction
care co-ordination
Child
Preschool
Education
Special
Pediatrics
Perinatology and Child Health
Female
DISABILITIES
Professional association
business
Zdroj: Child Care Health and Development, 33(5), 593-603. Wiley
ISSN: 1365-2214
0305-1862
DOI: 10.1111/j.1365-2214.2006.00719.x
Popis: Aim Worldwide, family- centred and co- ordinated care are seen as the two most desirable and effective methods of paediatric care delivery. This study outlines current views on how team collaboration comprising professionals in paediatric rehabilitation and special education and the parents of children with disabilities should be organized, and analyses the policies of five paediatric rehabilitation settings associated with the care of 44 children with cerebral palsy ( CP) in the Netherlands.Methods For an overview of current ideas on collaboration, written statements of professional associations in Dutch paediatric rehabilitation were examined. The policy statements of the five participating settings were derived from their institutional files. Documents detailing the collaborative arrangements involving the various professionals and parents were evaluated at the institutional level and at the child level. Involvement of the stakeholders was analysed based on team conferences.Results Also in the Netherlands collaboration between rehabilitation and education professionals and parents is endorsed as the key principle in paediatric rehabilitation, with at its core the team conference in which the various priorities and goals are formulated and integrated into a personalized treatment plan. As to their collaborative approaches between rehabilitation centre and school, the five paediatric settings rarely differed, but at the child level approaches varied. Teams were large ( averaging 10.5 members), and all three stakeholder groups were represented, but involvement differed per setting, as did the roles and contributions of the individual team members.Conclusion Collaboration between rehabilitation and education professionals and parents is supported and encouraged nationwide. Views on collaboration have been formulated, and general guidelines on family- centred and co- ordinated care are available. Yet, collaborative practices in Dutch paediatric care are still developing. Protocols that carefully delineate the commitments to collaborate and that translate the policies into practical, detailed guidelines are needed, as they are a prerequisite for successful teamwork.
Databáze: OpenAIRE
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