Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
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Summary
This summary is machine-generated.Integrated health and social care services for children in marginalized communities showed benefits in engagement and access. Greater institutional commitment is needed for sustainable integrated care delivery.
Area Of Science
- Public Health
- Health Services Research
- Child Health
Background
- National Health Service funding supports integrated health and social care for children in marginalized communities to address health inequities.
- Factors influencing the design and delivery of these integrated services, and their effectiveness, are not well understood.
Purpose Of The Study
- To inform the development of similar integrated care services by examining staff experiences from the Sparkbrook Children's Zone.
- Focus on evidence from a collocated integrated health and social support service for children.
Main Methods
- Qualitative study using directed content analysis of staff experiences.
- Framework used: Sustainable integrated chronic care model for multi-morbidity: delivery, financing, and performance (SELFIE).
- Analysis focused on the 'Service delivery' domain, specifically care content and access.
Main Results
- Interviews with 14 staff (clinicians, social care providers, mentors) revealed benefits at micro, meso, and macro levels.
- Micro-level: Increased family engagement and facilitated referrals for social support and preventive care.
- Meso-level: Benefits of collocation, collaborative working, and community outreach. Macro-level: Improved access and availability of appropriate care.
Conclusions
- The pilot service demonstrated multiple benefits for children and staff, primarily through collocated health and social support.
- Sustainable integrated health and social care necessitates enhanced institutional commitment and leadership.
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