Understanding the influence of leadership, organisation, and policy on delivering an integrated child health and social care service in community settings: A qualitative exploration using the SELFIE framework
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View abstract on PubMed
Summary
This summary is machine-generated.Integrated health and social care services for marginalized UK children face practical support gaps. Short-term funding hinders reliable evaluation of these complex, evolving services.
Area Of Science
- Public Health
- Integrated Care Systems
- Social Determinants of Health
Background
- The Sparkbrook Children's Zone exemplifies place-based integrated health and social care for marginalized UK youth.
- This model aims to address clinical needs and social determinants of health, but practical support is underexplored.
Purpose Of The Study
- To identify infrastructural challenges in delivering integrated health and social care services.
- Focus on challenges faced by combined clinical and non-clinical staff from diverse organizations.
Main Methods
- Qualitative study exploring staff experiences in an integrated service.
- Directed content analysis used within the Sustainable integrated chronic care model for multi-morbidity: delivery, financing, and performance (SELFIE) framework.
Main Results
- 14 staff (clinicians, social care, voluntary groups, mentors) were interviewed.
- Findings highlight a gap between system integration and on-the-ground practical support.
- Collocation offered training benefits, but staff recruitment and funding complexities were significant.
Conclusions
- Despite UK structural reforms, practical support for place-based integrated services remains insufficient.
- Short-term funding cycles impede reliable evaluation of complex, evolving integrated care models.
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