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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Main Authors: Vincent Busch, Henk François Van Stel, Johannes Rob Josephus De Leeuw, Edward Melhuish, Augustinus Jacobus Petrus Schrijvers
Format: Article
Language:English
Published: Ubiquity Press 2013-04-01
Series:International Journal of Integrated Care
Subjects:
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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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
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AT johannesrobjosephusdeleeuw multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy
AT edwardmelhuish multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy
AT augustinusjacobuspetrusschrijvers multidisciplinaryintegratedparentandchildcentresinamsterdamaqualitativestudy