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Pediatric Group Care: A Systematic Review.

Emily Gaskin1,2, Kim Weber Yorga3,4, Rebecca Berman3

  • 1Prevention Research Center at University of Colorado, Aurora, USA. emily.gaskin@cuanschutz.edu.

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Summary
This summary is machine-generated.

Group well-child care offers efficient, patient-centered services comparable to individual visits, particularly benefiting underserved populations. Further research should refine program components for optimal effectiveness.

Keywords:
Group careGroup well-child careMedical homePediatrics

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Area of Science:

  • Pediatrics
  • Public Health
  • Healthcare Delivery

Background:

  • Group Well-Child Care (GWCC) programs offer an alternative to traditional individual visits.
  • Understanding GWCC characteristics and outcomes is crucial for optimizing pediatric healthcare delivery.
  • Existing literature highlights varied program structures and participant demographics.

Purpose of the Study:

  • To systematically review the characteristics and outcomes of Group Well-Child Care programs.
  • To identify factors influencing the effectiveness of GWCC.
  • To provide recommendations for future research in this area.

Main Methods:

  • Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Comprehensive literature search including electronic databases, bibliographies, and internet searches up to July 2019.
  • Inclusion of 19 peer-reviewed articles meeting specific criteria for medical care and well-child focus; quality assessed using Downs and Black tool.

Main Results:

  • GWCC programs typically integrate individual examinations, check-ins, and group discussions.
  • Programs serve diverse populations, with notable use in underserved communities.
  • Evidence indicates GWCC is as effective as individual care, improving healthcare utilization and weight outcomes, with potential benefits from patient-led discussions and multidisciplinary teams.

Conclusions:

  • Group Well-Child Care is an effective, patient-centered model for delivering pediatric healthcare, especially for underserved groups.
  • Key design elements like patient engagement and diverse professional involvement may enhance outcomes.
  • Future research requires rigorous designs to evaluate specific components and processes for successful implementation.