Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study
<p><strong>Background</strong>: In several countries centres for the integrated delivery of services to the parent and child have been established. In the Netherlands family health care service centres, called Parent and Child Centres (PCCs) involve multidisciplinary teams. Here do...
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Format: | Article |
Language: | English |
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Ubiquity Press
2013-04-01
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Series: | International Journal of Integrated Care |
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Online Access: | http://www.ijic.org/index.php/ijic/article/view/887 |
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author | Vincent Busch Henk François Van Stel Johannes Rob Josephus De Leeuw Edward Melhuish Augustinus Jacobus Petrus Schrijvers |
author_facet | Vincent Busch Henk François Van Stel Johannes Rob Josephus De Leeuw Edward Melhuish Augustinus Jacobus Petrus Schrijvers |
author_sort | Vincent Busch |
collection | DOAJ |
description | <p><strong>Background</strong>: In several countries centres for the integrated delivery of services to the parent and child have been established. In the Netherlands family health care service centres, called Parent and Child Centres (PCCs) involve multidisciplinary teams. Here doctors, nurses, midwives, maternity help professionals and educationists are integrated into multidisciplinary teams in neighbourhood-based centres. To date there has been little research on the implementation of service delivery in these centres.</p><p><strong>Study Design:</strong> A SWOT analysis was performed by use of triangulation data; this took place by integrating all relevant published documents on the origin and organization of the PCCs and the results from interviews with PCC experts and with PCC professionals (N=91). Structured interviews were performed with PCC-professionals (health care professionals (N=67) and PCC managers N=12)) and PCC-experts (N=12) in Amsterdam and qualitatively analysed thematically. The interview themes were based on a pre-set list of codes, derived from a prior documentation study and a focus group with PCC experts. </p><p><strong>Results</strong>: Perceived advantages of PCCs were more continuity of care, shorter communication lines, low-threshold contact between professionals and promising future perspectives. Perceived challenges included the absence of uniform multidisciplinary guidelines, delays in communication with hospitals and midwives, inappropriate accommodation for effective professional integration, differing expectations regarding the PCC-manager role among PCC-partners and the danger of professionals' needs dominating clients' needs.</p><p><strong>Conclusions</strong>: Professionals perceive PCCs as a promising development in the integration of services. Remaining challenges involved improvements at the managerial and organizational level. Quantitative research into the improvements in quality of care and child health is recommended.</p> |
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format | Article |
id | doaj.art-23552f8e00bb4172986405300c980725 |
institution | Directory Open Access Journal |
issn | 1568-4156 |
language | English |
last_indexed | 2024-12-14T00:07:44Z |
publishDate | 2013-04-01 |
publisher | Ubiquity Press |
record_format | Article |
series | International Journal of Integrated Care |
spelling | doaj.art-23552f8e00bb4172986405300c9807252022-12-21T23:25:55ZengUbiquity PressInternational Journal of Integrated Care1568-41562013-04-01132993Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative studyVincent BuschHenk François Van StelJohannes Rob Josephus De LeeuwEdward MelhuishAugustinus Jacobus Petrus Schrijvers<p><strong>Background</strong>: In several countries centres for the integrated delivery of services to the parent and child have been established. In the Netherlands family health care service centres, called Parent and Child Centres (PCCs) involve multidisciplinary teams. Here doctors, nurses, midwives, maternity help professionals and educationists are integrated into multidisciplinary teams in neighbourhood-based centres. To date there has been little research on the implementation of service delivery in these centres.</p><p><strong>Study Design:</strong> A SWOT analysis was performed by use of triangulation data; this took place by integrating all relevant published documents on the origin and organization of the PCCs and the results from interviews with PCC experts and with PCC professionals (N=91). Structured interviews were performed with PCC-professionals (health care professionals (N=67) and PCC managers N=12)) and PCC-experts (N=12) in Amsterdam and qualitatively analysed thematically. The interview themes were based on a pre-set list of codes, derived from a prior documentation study and a focus group with PCC experts. </p><p><strong>Results</strong>: Perceived advantages of PCCs were more continuity of care, shorter communication lines, low-threshold contact between professionals and promising future perspectives. Perceived challenges included the absence of uniform multidisciplinary guidelines, delays in communication with hospitals and midwives, inappropriate accommodation for effective professional integration, differing expectations regarding the PCC-manager role among PCC-partners and the danger of professionals' needs dominating clients' needs.</p><p><strong>Conclusions</strong>: Professionals perceive PCCs as a promising development in the integration of services. Remaining challenges involved improvements at the managerial and organizational level. Quantitative research into the improvements in quality of care and child health is recommended.</p>http://www.ijic.org/index.php/ijic/article/view/887child healthfamily centresintegrated servicesmultidisciplinary cooperationhealth professionalsNetherlands |
spellingShingle | Vincent Busch Henk François Van Stel Johannes Rob Josephus De Leeuw Edward Melhuish Augustinus Jacobus Petrus Schrijvers Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study International Journal of Integrated Care child health family centres integrated services multidisciplinary cooperation health professionals Netherlands |
title | Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study |
title_full | Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study |
title_fullStr | Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study |
title_full_unstemmed | Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study |
title_short | Multidisciplinary integrated Parent and Child Centres in Amsterdam: a qualitative study |
title_sort | multidisciplinary integrated parent and child centres in amsterdam a qualitative study |
topic | child health family centres integrated services multidisciplinary cooperation health professionals Netherlands |
url | http://www.ijic.org/index.php/ijic/article/view/887 |
work_keys_str_mv | AT vincentbusch multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy AT henkfrancoisvanstel multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy AT johannesrobjosephusdeleeuw multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy AT edwardmelhuish multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy AT augustinusjacobuspetrusschrijvers multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy |