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Overcoming obstacles: challenges of caring for an urban pediatric population

C Cuthbert-Allman1, K Burrows

  • 1Visiting Nurse Association of Boston, MA, USA.

Caring : National Association for Home Care Magazine
|April 7, 1998
PubMed

Insights

Inner-city pediatric home care presents unique challenges. The VNA of Boston

Area of Science:

  • Pediatric Nursing
  • Community Health
  • Maternal and Child Health

Background:

  • Home-based pediatric care faces significant hurdles, particularly for families in urban environments.
  • Inner-city settings introduce complex social determinants of health impacting pediatric patient care.
  • Existing healthcare models may not adequately address the multifaceted needs of these populations.

Purpose of the Study:

  • To highlight the challenges in pediatric home healthcare within inner-city contexts.
  • To present the VNA of Boston's Maternal Child Health team as a successful intervention model.
  • To offer insights for improving pediatric care delivery in underserved urban areas.

Main Methods:

  • Qualitative analysis of challenges encountered in pediatric home care.
  • Case study of the VNA of Boston's Maternal Child Health team's operational strategies.
  • Examination of team-based approaches to address complex patient and family needs.

Main Results:

  • The VNA of Boston's Maternal Child Health team effectively navigated numerous challenges.
  • Specific strategies employed by the team facilitated successful pediatric home care.
  • The model demonstrated adaptability and resilience in an inner-city setting.

Conclusions:

  • The VNA of Boston's Maternal Child Health team offers a replicable model for pediatric home care.
  • Addressing socioeconomic and environmental factors is crucial for effective inner-city pediatric care.
  • Interdisciplinary, specialized teams can overcome significant barriers in community-based pediatric nursing.

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