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Published on: June 1, 2015
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Evaluation of a pediatric navigation program within primary care: a quantitative analysis guided by the Reach,
Mackenzie Stuenkel1, Caitlin Koob2,3, Sarah F Griffin3
1Vanderbilt University Medical Center, Nashville, TN, USA. Mackenzie.stuenkel@vumc.org.
BMC Health Services Research
|December 5, 2024
Summary
Pediatric Support Services (PSS) improved mental health service connection for children. Program modifications can further optimize care delivery and patient outcomes.
Area of Science:
- Pediatric healthcare delivery
- Patient navigation programs
- Mental health services research
Background:
- Pediatric Support Services (PSS) is a patient navigation program designed to overcome barriers in connecting primary care referrals to health system and community resources.
- This study evaluated the implementation of PSS for mental health services using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
- The evaluation aimed to identify factors influencing sustainability and delivery of PSS.
Purpose of the Study:
- To evaluate the implementation of a Pediatric Support Services (PSS) program for mental health services.
- To assess the program's reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) within a health system.
- To identify key factors for optimizing PSS sustainability and delivery for pediatric mental health care.
Main Methods:
- Descriptive analysis of all patients referred to PSS, with a primary cohort analysis of patients referred for mental health services.
- Data triangulation using electronic health records, direct caregiver contact, and caregiver surveys.
- Analysis within each RE-AIM framework construct, assessing impacts at patient, provider, and system levels.
Main Results:
- Over 11,000 unique patients were referred to PSS between October 2019 and June 2023, with a younger, Hispanic, female overrepresentation.
- Of 3,929 patients referred for mental health, 50.6% were connected to services, and 27.1% had pending appointments.
- Referral connection rates increased with age and for Black patients; high satisfaction reported with PSS and navigator contact.
Conclusions:
- Findings suggest program modifications to enhance the quality of care and health outcomes for children and families.
- Recommendations include optimizing provider and clinic capacity through improved navigation processes.
- Future adaptations such as EHR integration and automated navigation are proposed for comprehensive care coordination.
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