Clinicians’ Perspectives on Equitable Health Care Delivery in Group Well-Child Care

Gresh, Ashley; Ahmed, Noureen; Boynton-Jarrett, Renée; Sharifi, Mona; Rosenthal, Marjorie S.; Fenick, Ada M.

doi:10.1016/j.acap.2023.06.010

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…Pediatric primary care is delivered in different settings, including within family-centered medical homes where pediatricians are expertly prepared to handle child health needs by providing continuous, affordable, compassionate care with cultural humility ( 56 ). Other settings include group well-child care which is thought to increase equitable health care delivery ( 59 ) with many documented health benefits for families experiencing marginalization and underserved communities. Benefits include increased adherence to well-child visits, better child nutritional behaviors, increased rates of breastfeeding, optimal child health status and development, and increased parental social support, caregiving behaviors, self-efficacy and psychological well-being ( 60 ).…”

Section: Introductionmentioning

confidence: 99%

Advancing early relational health: a collaborative exploration of a research agenda

Dumitriu,

Lavallée,

Riggs

et al. 2023

Front. Pediatr.

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Here, we introduce the Early Relational Health (ERH) Learning Community's bold, large-scale, collaborative, data-driven and practice-informed research agenda focused on furthering our mechanistic understanding of ERH and identifying feasible and effective practices for making ERH promotion a routine and integrated component of pediatric primary care. The ERH Learning Community, formed by a team of parent/caregiver leaders, pediatric care clinicians, researchers, and early childhood development specialists, is a workgroup of Nurture Connection—a hub geared toward promoting ERH, i.e., the positive and nurturing relationship between young children and their parent(s)/caregiver(s), in families and communities nationwide. In response to the current child mental health crisis and the American Academy of Pediatrics (AAP) policy statement promoting ERH, the ERH Learning Community held an in-person meeting at the AAP national headquarters in December 2022 where members collaboratively designed an integrated research agenda to advance ERH. This agenda weaves together community partners, clinicians, and academics, melding the principles of participatory engagement and human-centered design, such as early engagement, co-design, iterative feedback, and cultural humility. Here, we present gaps in the ERH literature that prompted this initiative and the co-design activity that led to this novel and iterative community-focused research agenda, with parents/caregivers at the core, and in close collaboration with pediatric clinicians for real-world promotion of ERH in the pediatric primary care setting.

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Section: Introductionmentioning

confidence: 99%