Barriers to and Systems Solutions for Increasing Early Childhood Home Visiting Referrals by Health Care Providers Serving Urban and Rural Communities

被引:2
|
作者
Cruz, Theresa H. [1 ,4 ]
Woelk, Leona [1 ]
Cervantes, Ivy C. Vitanzos C. [2 ]
Kaminsky, Alexis [3 ]
机构
[1] Univ New Mexico, Dept Pediat, Albuquerque, NM USA
[2] Natl Network Publ Hlth Inst, Washington, DC USA
[3] Univ New Mexico, Cradle Career Policy Inst, Albuquerque, NM USA
[4] Univ New Mexico, Dept Pediat, MSC 11 6145,2703 Frontier NE,RIB Ste 120,1 Univ Ne, Albuquerque, NM 87131 USA
关键词
health equity; injury prevention; maternal and child health; primary prevention; qualitative research; PALLIATIVE CARE; PROGRAMS; IMPLEMENTATION; POVERTY;
D O I
10.1097/FCH.0000000000000343
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Early childhood home visiting (ECHV) is an evidence-based prevention strategy that directly impacts maternal and child health by mitigating the poor outcomes associated with socioeconomic disadvantage and adverse childhood experiences that disproportionately affect marginalized populations. Despite its promise, health care providers in many communities do not routinely refer patients to these services. This qualitative study examined barriers to health care providers' referrals to ECHV services and identified systems-level strategies to overcome those barriers through semistructured interviews with 37 health care providers in New Mexico. Most participants were pediatricians or family practice physicians working in hospitals or community-based primary care settings, and the majority served rural communities. Barriers included insufficient knowledge about ECHV programs; lack of trust of program providers; time constraints; concerns about available funding; lack of a standardized referral process; and concerns about stigma and messaging. Five systems-level recommendations were developed to improve practice: (1) educating health care providers; (2) developing messaging prompts for providers to use when talking with patients about ECHV; (3) increasing engagement among providers and ECHV programs; (4) standardizing referral systems within practices; and (5) promoting universal referrals. Additional research is ongoing to determine the degree to which these health promotion strategies increase referrals and participation in ECHV.
引用
收藏
页码:69 / 78
页数:10
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共 11 条
  • [1] Coordination of early childhood home visiting and health care providers
    Paradis, Heather A.
    Belknap, Amanda
    O'Neill, Kay M. G.
    Baggett, Sally
    Minkovitz, Cynthia S.
    [J]. CHILDREN AND YOUTH SERVICES REVIEW, 2018, 85 : 202 - 210
  • [2] Adaptations to health care barriers as reported by rural and urban providers
    Chipp, Cody L.
    Johnson, Mark E.
    Brems, Christiane
    Warner, Teddy D.
    Roberts, Laura W.
    [J]. JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2008, 19 (02) : 532 - 549
  • [3] The financial impact of interim and prospective payment systems on home health providers in rural communities
    Lin, CJ
    Davitt, JK
    Meit, M
    Scwartz, M
    Marainen, J
    Davis, L
    [J]. JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2005, 16 (03) : 576 - 587
  • [4] Health Care Providers' Reports of Perceived Stigma Associated with HIV and AIDS in Rural and Urban Communities
    Brems, Christiane
    Johnson, Mark E.
    Warner, Teddy D.
    Roberts, Laura Weiss
    [J]. JOURNAL OF HIV-AIDS & SOCIAL SERVICES, 2010, 9 (04) : 356 - 370
  • [5] Improving connections to early childhood systems of care via a universal home visiting program in Massachusetts
    Kotake, Chie
    Fauth, Rebecca C.
    Stetler, Katie
    Goldberg, Jessica L.
    Silva, Christine F.
    Manning, Susan E.
    [J]. CHILDREN AND YOUTH SERVICES REVIEW, 2023, 150
  • [6] How do urban organized health care delivery systems link with rural providers?
    Christianson, JB
    Wellever, A
    Radcliff, T
    Knutson, DJ
    [J]. HEALTH CARE MANAGEMENT REVIEW, 2000, 25 (03) : 36 - 47
  • [7] FEEDING, HOME-REMEDY PRACTICES, AND CONSULTATION WITH HEALTH-CARE PROVIDERS DURING CHILDHOOD ILLNESS IN RURAL BANGLADESH
    BHUIYA, A
    STREATFIELD, K
    [J]. JOURNAL OF DIARRHOEAL DISEASES RESEARCH, 1995, 13 (02): : 106 - 112
  • [8] Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru
    Pesaressi, Eraldo
    Villena, Rita S.
    van der Sanden, Wil J. M.
    Mulder, Jan
    Frencken, Jo E.
    [J]. BMC ORAL HEALTH, 2014, 14
  • [9] Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru
    Eraldo Pesaressi
    Rita S Villena
    Wil JM van der Sanden
    Jan Mulder
    Jo E Frencken
    [J]. BMC Oral Health, 14
  • [10] Training Michigan School Providers (Nurses And Mental Health Specialists) In Pediatric Pain Management Strategies: Increasing Access To Care In Rural Communities
    Love, Sarah
    Cunningham, Natoshia
    Reid, Mallet
    Adler, Michelle
    [J]. JOURNAL OF PAIN, 2023, 24 (04): : 89 - 89