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PROTOCOL: How Do Primary Care Providers Seek Advice Regarding Paediatric Care? Protocol for a Mixed Methods
Tina Vickery1, Georgia Fisher1, Lisa Pagano1
1Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
Insights
Primary Care Practitioners (PCPs) often face challenges in pediatric care. This systematic review examines how PCPs seek advice within their social networks to improve children's healthcare quality.
Area of Science:
- Healthcare delivery
- Pediatric primary care
- Health systems research
Background:
- Primary Care Practitioners (PCPs) face significant challenges in delivering pediatric primary care.
- Variability in pediatric primary care quality is influenced by complex health system factors.
- Understanding PCP advice-seeking behaviors is crucial for improving care.
Purpose of the Study:
- To systematically review how PCPs seek advice regarding pediatric care.
- To synthesize the structures, characteristics, and benefits of social networks used by PCPs for advice.
- To identify factors influencing PCP advice-seeking in pediatric care.
Main Methods:
- A mixed methods systematic review protocol.
- Searches of EMBASE, Ovid MEDLINE, and Web of Science for English publications since 2013.
- Inclusion of diverse study designs (RCTs, qualitative, social network analysis, etc.).
- Data synthesis using a convergent integrated approach.
Main Results:
- This section will present findings on PCP social networks for advice-seeking in pediatric care.
- Analysis will cover network structures, measurement methods, benefits, and encountered barriers.
- Integrated findings will be generated from quantitative and qualitative data.
Conclusions:
- Improved understanding of PCP advice-seeking networks can inform strategies to enhance pediatric primary care.
- Contextually informed strategies leveraging healthcare system interconnectedness are essential.
- This review will provide evidence to support better pediatric care delivery by PCPs.
Abstract:
Despite their central role, Primary Care Practitioners (PCPs) encounter numerous challenges in providing primary care for children. Complex factors spanning all levels of the health system contribute to variability in the quality of paediatric primary care. Contextually informed strategies addressing these factors can deliver positive change. These strategies recognise healthcare as a complex adaptive system and leverage the interconnectedness of the health system and communication networks of healthcare providers. Evidence describing advice-seeking practices of PCPs related to paediatric care is limited. This protocol outlines a mixed methods systematic review that aims to examine how primary care practitioners seek advice regarding paediatric care. The resulting review will synthesise the structures and characteristics of the social networks through which PCPs seek advice regarding paediatric care, how networks are measured, the benefits of these networks, and factors PCPs encounter when seeking advice. The review will be guided by the Joanna Briggs Institute Mixed Methods Systematic Review manual and the Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) statement. We will search English language publications in EMBASE, Ovid MEDLINE, and Web of Science. Relevant peer-reviewed articles published since 2013 will be included, encompassing randomised controlled trials (RCTs), non-RCTs, pre- and post-intervention studies, cross-sectional studies, qualitative studies, social network analysis, and mixed-methods studies. Data will be synthesised using a convergent integrated approach, transforming quantitative data into textual descriptions and aggregating where possible to produce integrated findings. PROSPERO Registration Number: CRD420251025798.
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