Multisector collaborations at children's hospitals to address social drivers of health
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View abstract on PubMed
Summary
This summary is machine-generated.Children's hospitals partner with communities to improve child health by addressing disparities. Key factors for success include funding, staffing, and building community trust for sustainable collaborations.
Area Of Science
- Pediatric Health Services Research
- Community-Engaged Research
- Implementation Science
Background
- Child health is significantly impacted by social determinants, requiring multi-sectoral approaches.
- Children's hospitals are uniquely positioned to lead collaborative efforts addressing child health issues.
- Identifying effective multisector collaborations is crucial for pediatric care transformation.
Purpose Of The Study
- To identify multisector collaborations undertaken by US children's hospitals.
- To explore facilitators and challenges associated with these collaborations.
- To define best practices for implementing and sustaining multisector partnerships in pediatric care.
Main Methods
- Environmental scan including content analysis of Community Health Needs Assessments (CHNAs) and implementation strategies from 35 children's hospitals.
- Semistructured qualitative interviews with 14 leaders managing community partnerships across diverse hospitals.
- Analysis guided by the PRISM (Practical Robust Implementation and Sustainability Model) framework.
Main Results
- Most hospitals collaborated to address health disparities, focusing on mental health, access to care, safety, early education, and chronic disease.
- Common challenges included funding shortages, lack of trained staff, and varying community partner readiness.
- Facilitators comprised adequate resources, community trust, and leveraging existing partnerships.
Conclusions
- Children's hospitals must partner with community organizations to shift from sick-care to community-integrated systems.
- Findings offer strategies for implementing and sustaining multisector collaborations to enhance child health outcomes.
- Leveraging hospital strengths and community resources is key for effective, integrated pediatric care.
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