108 lines
3.5 KiB
YAML
108 lines
3.5 KiB
YAML
abstract: 'OBJECTIVE: Children of color and from low-income families experience
|
|
|
|
disparities in hospital care and outcomes. This study examined the
|
|
|
|
experiences of parents and providers who participated in a novel patient
|
|
|
|
navigation program designed to address these disparities. METHODS:
|
|
|
|
Between April and October 2018, we conducted semistructured interviews
|
|
|
|
with parents enrolled in the Family Bridge navigation pilot study, and
|
|
|
|
inpatient care providers. Each set of interviews was thematically coded
|
|
|
|
and analyzed according to the Realist Evaluation Framework of context,
|
|
|
|
mechanism and outcomes; to identify how and when the pro-gram worked,
|
|
|
|
for whom, and with what results. RESULTS: Of 60 parents enrolled in the
|
|
|
|
intervention, 50 (83\%) completed an interview. All enrolled children
|
|
|
|
had public insurance; 66\% were Hispanic, 24\% were non -His-panic
|
|
|
|
Black, and 36\% of parents preferred Spanish for communication. Of 23
|
|
|
|
providers who completed an inter-view, 16 (70\%) were attending
|
|
|
|
physicians. Parents identified 4 contexts influencing intervention
|
|
|
|
effectiveness: past clinical experience, barriers to communication,
|
|
|
|
access to resources, and timing of intervention delivery. Four
|
|
|
|
mechanisms were identified by both parents and providers: emotional
|
|
|
|
support, information collection and sharing, facilitating communication,
|
|
|
|
and addressing unmet social needs. Parent-level outcomes included
|
|
|
|
improved communication, feeling supported, and increased parental
|
|
|
|
knowledge surrounding the child''s care and the health system.
|
|
|
|
Provider-level outcomes included providing tailored communication and
|
|
|
|
attending to family nonmedical needs. CONCLUSIONS: This study provided
|
|
|
|
insight into the mechanisms by which an inpatient navigation program may
|
|
|
|
improve communication, support, and knowledge for parents of low-income
|
|
|
|
children of color, both directly and by changing provider behavior.'
|
|
affiliation: 'Chisholm, H (Corresponding Author), Yale Univ, Sch Publ Hlth, Dept Social
|
|
\& Behav Sci, 60 Coll St, New Haven, CT 06510 USA.
|
|
|
|
Chisholm, Hillary; Kershaw, Trace, Yale Univ, Sch Publ Hlth, Dept Social \& Behav
|
|
Sci, 60 Coll St, New Haven, CT 06510 USA.
|
|
|
|
Chisholm, Hillary, MGH Inst Hlth Profess, Sch Nursing, Boston, MA USA.
|
|
|
|
Guerra, Laura Sotelo; Bocek, Kevin; Garcia, Yesenia; Lion, K. Casey, Seattle Childrens
|
|
Res Inst, Ctr Child Hlth Behav \& Dev, Seattle, WA USA.
|
|
|
|
Lion, K. Casey, Univ Washington, Seattle Childrens Hosp, Dept Pediat, Sch Med, Seattle,
|
|
WA USA.'
|
|
author: Chisholm, Hillary and Kershaw, Trace and Guerra, Laura Sotelo and Bocek, Kevin
|
|
and Garcia, Yesenia and Lion, K. Casey
|
|
author-email: hchisholm@mghihp.edu
|
|
author_list:
|
|
- family: Chisholm
|
|
given: Hillary
|
|
- family: Kershaw
|
|
given: Trace
|
|
- family: Guerra
|
|
given: Laura Sotelo
|
|
- family: Bocek
|
|
given: Kevin
|
|
- family: Garcia
|
|
given: Yesenia
|
|
- family: Lion
|
|
given: K. Casey
|
|
da: '2023-09-28'
|
|
eissn: 1876-2867
|
|
files: []
|
|
issn: 1876-2859
|
|
journal: ACADEMIC PEDIATRICS
|
|
keywords: 'emotional support; low-income/minority; patient-centered communication;
|
|
|
|
patient navigation; pediatric hospital medicine'
|
|
keywords-plus: CARE
|
|
language: English
|
|
month: JUL
|
|
number: '5'
|
|
number-of-cited-references: '26'
|
|
pages: 789-796
|
|
papis_id: 5a48ade4e8ea1fbd7882ce0c5807c10f
|
|
ref: Chisholm2021realistevaluation
|
|
times-cited: '0'
|
|
title: A Realist Evaluation Analysis of a Novel Multi-Faceted Inpatient Patient Navigation
|
|
Program
|
|
type: article
|
|
unique-id: WOS:000885960300006
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '0'
|
|
volume: '22'
|
|
web-of-science-categories: Pediatrics
|
|
year: '2021'
|