Pediatric Subspecialist Referrals to Peer Support for Families.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2025-01-01 Epub Date: 2024-12-12 DOI:10.1007/s10995-024-04033-y
Edward L Schor, Tali Klima, Holly K M Henry, Allison Gray, Megumi J Okumura
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引用次数: 0

Abstract

Background and objectives: Families of children with special health care needs (CSHCN) have reported to benefit from social, emotional, and informational support from other families (peer support) with similarly affected children. Pediatric subspecialists often serve as the primary medical providers for CSHCN, as well as educators for these children's families. The extent to which subspecialists refer families to sources of peer support is unknown.

Methods: A statewide online survey of California pediatric subspecialists investigated opinions about the potential value and challenges of peer support. Data was obtained on the frequency with which families in their practices were referred to peer support, practice characteristics, and personal demographics. Weighted data, descriptive statistics, and regression models were used to characterize and predict factors affecting referral services.

Results: There were 388 respondents, a response rate of 14.5%. Subspecialists were generally unfamiliar with peer support resources in their communities, but many more knew of peer support programs in their institutions. Most (> 85%) held positive views about peer support, though only 40% of practices often referred families for such support. Individual opinions did not predict practice referral processes for peer support which were more influenced by knowledge of resources, and availability of time, staffing, and institutional peer support resources.

Conclusion: Offering referral to peer support services is compatible with pediatric subspecialty care. Educating physicians about available resources, assigning responsibility, providing staff time for referring families, and incorporating parent mentors into subspecialty practices can increase access. Future studies of families' referral experiences are needed.

儿科专科转介到家庭同伴支持。
背景和目的:据报道,有特殊保健需要儿童的家庭从其他有类似问题儿童的家庭(同伴支持)获得社会、情感和信息支持。儿科专科医生通常是CSHCN的主要医疗提供者,同时也是这些儿童家庭的教育工作者。专科医生将家庭转介到同伴支持来源的程度尚不清楚。方法:对加州儿科专科医生进行全州范围的在线调查,调查他们对同伴支持的潜在价值和挑战的看法。获得了有关家庭在其实践中获得同伴支持、实践特征和个人人口统计数据的频率的数据。使用加权数据、描述性统计和回归模型来描述和预测影响转诊服务的因素。结果:共调查388人,回复率为14.5%。亚专家通常不熟悉他们社区中的同伴支持资源,但更多的人知道他们机构中的同伴支持项目。大多数人(约85%)对同伴支持持积极态度,尽管只有40%的做法经常向家人求助。个人意见不能预测同伴支持的实践转介过程,后者更多地受到资源知识、时间、人员配备和机构同伴支持资源的可用性的影响。结论:提供同伴支持服务与儿科亚专科护理相适应。教育医生了解可用的资源,分配责任,为转诊家庭提供工作时间,并将家长导师纳入亚专科实践可以增加访问。需要对家庭转诊经验进行进一步的研究。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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