A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Area of Science:

• Pediatric Healthcare Delivery
• Implementation Science
• Health Services Research

Background:

• Group well-child care offers a novel approach to pediatric primary care.
• Existing evidence requires synthesis to guide effective implementation and research.
• A standardized framework is needed to optimize group well-child care models.

Purpose of the Study:

• To construct a conceptual framework for group well-child care using scoping review methods.
• To synthesize current evidence to inform future practice and research in group well-child care.
• To establish a foundation for consistent model implementation and evaluation.

Main Methods:

• Scoping review conducted following Arksey and O'Malley's (2005) six stages.
• Utilized the Consolidated Framework for Implementation Research (CFIR) and the quadruple aim.
• Constructed a conceptual framework integrating key evidence components.

Main Results:

• A comprehensive conceptual framework for group well-child care was developed.
• Key inputs include health system context, administration, clinical setting, team, population, and training.
• Core components encompass structure, content, and process, yielding outcomes across the quadruple aim.

Conclusions:

• The conceptual framework provides guidance for implementing and evaluating group well-child care models.
• Identifies key outcomes for harmonizing research and evaluation efforts.
• Aims to standardize implementation, inform policy, and advance future practice and research.