Pediatric Rheumatology Care in the Canadian Context: A Qualitative Analysis of Care Providers
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View abstract on PubMed
Summary
This summary is machine-generated.Geographic barriers and inconsistent access to allied health professionals hinder pediatric rheumatology care in Canada. Advanced Clinician Practitioners in Arthritis Care and community pediatric rheumatologists help improve access to care for children with rheumatic diseases.
Area Of Science
- Pediatric Rheumatology
- Healthcare Delivery
- Qualitative Research
Background
- A national deficit and geographic maldistribution of pediatric rheumatologists and allied health professionals (AHPs) exist in Canada.
- Understanding care delivery structures and processes is crucial for improving pediatric rheumatology services.
Purpose Of The Study
- To evaluate clinical care structures and processes in Canadian pediatric rheumatology centers.
- To identify factors that promote or impede care delivery from healthcare providers' perspectives.
Main Methods
- Semistructured interviews were conducted with pediatric rheumatologists and Advanced Clinician Practitioners in Arthritis Care (ACPACs) across Canada.
- Qualitative content analysis, including decontextualization, recontextualization, categorization, and compilation, was employed.
- Latent analysis was used to identify themes iteratively from the interview data.
Main Results
- Geographic barriers significantly impede access to pediatric rheumatology care.
- ACPACs and community pediatric rheumatologists enhance care accessibility.
- Inconsistent access to knowledgeable pediatric-focused physiotherapists, social workers, and occupational therapists was reported.
Conclusions
- Common themes of support and barriers to pediatric rheumatology care exist across Canadian practices.
- Identifying thriving practice patterns can guide pediatric rheumatology practice.
- Highlighting resource deficits can inform future advocacy efforts for improved pediatric rheumatology services.
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