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Healthy connections: a relational model to extend primary care into the perinatal period

D J Karl1, D Limbo, V J Ricker

  • 1Healthy Connections Program, Children's Hospital, Boston, MA 02115, USA.

Insights

This pediatric hospital initiative extends primary care to newborns using nurse practitioners. The program improves early healthcare compliance and reduces emergency visits, enhancing family satisfaction.

Area of Science:

  • Pediatrics
  • Primary Health Care
  • Nursing

Background:

  • Quality primary health care models are essential for pediatric populations.
  • Urban pediatric hospitals face challenges in extending care to the perinatal period.
  • Existing healthcare models often lack comprehensive, family-centered perinatal services.

Observation:

  • An urban pediatric hospital implemented a newborn intervention program.
  • Nurse practitioners deliver services using a relational, family-focused approach.
  • Care extends from birth through the first primary care visit.

Findings:

  • The program significantly improved primary care compliance in the first four months of life.
  • A notable reduction in newborn emergency department visits was observed.
  • High levels of both consumer and provider satisfaction were documented.

Implications:

  • This model demonstrates effective extension of primary care into the perinatal period.
  • Relational, family-centered nursing interventions can enhance pediatric healthcare outcomes.
  • Successful programs can reduce healthcare system strain and improve patient experiences.

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