Translating 'proportionate universal healthcare' into meaningful system design to optimize equity in child and family services
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View abstract on PubMed
Summary
This summary is machine-generated.Redesigning child and family health nursing services improved equitable care for families with complex needs. This shift to proportionate universalism benefited families and nurses, though nurse burnout increased.
Area Of Science
- Child and Family Health Nursing
- Healthcare Service Redesign
- Public Health
Background
- Current child and family health services often provide uniform care irrespective of family needs.
- A service redesign was initiated to enhance access, response, and outcomes for families with young children (0-5 years).
Purpose Of The Study
- To redesign child and family health nursing services for improved access, response, and outcomes.
- To implement a model of care based on proportionate universalism.
Main Methods
- An iterative, mixed-method study employing participatory action research.
- Phases included diagnostics, solution design, implementation, and sustainability.
- Data sources comprised administrative data, nurse and client surveys, and design workshop analyses.
Main Results
- Service provision shifted from equal to equitable, proportionate universalism based on need.
- Families facing adversity showed positive impacts; universal response groups were unaffected.
- Nurses reported improved emotional labor, but experienced increased burnout post-redesign.
Conclusions
- Equitable, proportionate universalism in early childhood nursing services is achievable and beneficial for families and nurses.
- Systematic, participatory approaches are valuable for effective service redesign.
- This model ensures services are accessible according to individual family needs.
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