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Evaluation of RuralkidsGPS; A Novel Integrated Paediatric Care Coordination Model of Care in Rural Australia - a

Raghu Lingam1,2, Hayley Smithers-Sheedy1, Stephanie Hodgson2

  • 1Population Child Health Research Group, School of Women's and Children's Health, University of New South Wales, Sydney, NSW, Australia.

International Journal of Integrated Care
|November 29, 2023
PubMed

Insights

The RuralKidsGPS program aims to improve integrated care for children with medical complexity in rural Australia. This evaluation will assess its health, economic, and implementation outcomes to guide future scaling efforts.

Area of Science:

  • Healthcare delivery models
  • Pediatric complex care coordination
  • Rural health services research

Background:

  • The Kids Guided Personalised Service (KidsGPS) is an integrated care coordination model for children and young people (CYP) with medical complexity.
  • Successful urban implementation of KidsGPS necessitates a scaled rollout to rural areas (RuralKidsGPS) in New South Wales, Australia.

Purpose of the Study:

  • To evaluate the health, economic, and implementation outcomes of the RuralKidsGPS model.
  • To identify barriers and enablers for future large-scale implementation of integrated care models.
  • To inform equitable access to integrated care for rural CYP with medical complexity.

Main Methods:

  • Mixed-methods evaluation incorporating quantitative measures and qualitative interviews.
  • Utilizing the Consolidated Framework for Implementation Research (CFIR).
  • Assessing health service utilization, child quality of life, and parent/carer experiences; economic analysis for cost-effectiveness.

Main Results:

  • Primary outcome measure: health service utilization.
  • Secondary outcomes: child health-related quality of life and parent/carer experiences.
  • Economic analysis to determine incremental cost-effectiveness ratios.

Conclusions:

  • RuralKidsGPS has the potential to enhance equity of access to integrated care for rural CYP.
  • The evaluation protocol can inform future scaled implementations of similar care models.
  • Findings will guide the successful expansion of integrated care services to underserved populations.
Abstract

Keywords:
care coordinationchildren and young peopleimplementationmedical complexitymodel of carerural

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