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Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study
Vincent Busch1, Henk François Van Stel, Johannes Rob Josephus De Leeuw
1Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Parent and Child Centres (PCCs) offer integrated services, showing promise for care continuity. However, challenges in management and organization require further attention for optimal service delivery.
Area of Science:
- Public Health
- Healthcare Management
- Child Development Services
Background:
- Integrated service delivery models for parent and child care are emerging globally.
- Parent and Child Centres (PCCs) in the Netherlands utilize multidisciplinary teams for comprehensive care.
- Limited research exists on the implementation of these integrated service centres.
Purpose of the Study:
- To evaluate the implementation of Parent and Child Centres (PCCs) in the Netherlands.
- To identify perceived advantages and challenges in the multidisciplinary service delivery model of PCCs.
- To provide recommendations for improving the organization and management of PCCs.
Main Methods:
- A SWOT analysis was conducted using triangulated data from published documents and interviews.
- Structured interviews were held with 91 PCC professionals and experts in Amsterdam.
- Qualitative thematic analysis was applied to interview data, guided by a pre-set code list.
Main Results:
- Perceived benefits include enhanced care continuity, improved communication, and accessible professional contact.
- Identified challenges involve a lack of uniform guidelines, communication delays with external facilities, and inadequate infrastructure.
- Potential issues include role ambiguity for PCC managers and the risk of prioritizing professional needs over client needs.
Conclusions:
- PCCs represent a promising approach to integrated service provision for parents and children.
- Significant improvements are needed at managerial and organizational levels to address identified challenges.
- Further quantitative research is recommended to assess impacts on quality of care and child health outcomes.
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