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Communication between key stakeholders within a medical home: a qualitative study
Catherine S Nelson1, S Darius Tandon, Anne K Duggan
1Department of Pediatrics, Division of General Pediatrics & Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. nelsoncatherine@yahoo.com
Clinical Pediatrics
|September 5, 2008
Summary
Pediatric providers and home visitors can improve child health outcomes by enhancing communication. Addressing barriers like parental consent and logistical challenges strengthens support for families.
Area of Science:
- Pediatrics
- Public Health
- Social Work
Background:
- Home visiting programs offer crucial support to families.
- Effective communication between pediatric providers and home visitors is vital for comprehensive child care.
- Existing communication channels may present challenges impacting service delivery.
Purpose of the Study:
- To identify perceived benefits of communication between pediatric providers and home visitors.
- To explore perceived detriments and barriers to this interprofessional communication.
- To inform strategies for improved collaboration in child health services.
Main Methods:
- A qualitative, cross-sectional study design was employed.
- Focus groups were conducted with home visitors (n=12), parents (n=33), and pediatric providers (n=19).
- An inductive analytic approach was used to identify emerging themes.
Main Results:
- Benefits: Home visitors facilitate parent-provider communication and reinforce provider guidance.
- Detriments: Parental concerns about confidentiality and provider unpreparedness for disclosed family issues.
- Barriers: Parental consent, communication logistics, and lack of provider awareness regarding home visitor roles.
Conclusions:
- Enhanced coordination between home visiting programs and pediatric providers can strengthen services.
- Improved communication reinforces parental guidance and anticipatory advice.
- Addressing identified barriers is key to optimizing the impact of home visiting programs.
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