Parent's Perspective on Continuity of Care in the Maternity Care and Child Health Services Continuum: A Qualitative Systematic Review.

IF 2.6 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Integrated Care Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI:10.5334/ijic.8645

Anne C M Hermans, Silke Boertien, Lauri M M van den Berg, Ank de Jonge, Danielle E M C Janssen, Arie Franx, Jacoba van der Kooy, Marlou L A de Kroon

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Abstract

Introduction: While the World Health Organization (WHO) advocates organizing maternity care and preventive child healthcare (PCHC) as people-centred, integrated healthcare services, globally these services are often established separately, causing discontinuity of care. Our aim is to synthesize the evidence concerning what impacts parents' experience of continuity of care, and how to promote it.

Methods: Qualitative systematic review. Embase, Medline, Web of Science, Cochrane, CINAHL and Google Scholar were searched for studies on parents' perspectives on integrated care. Helpful practices and issues regarding continuity of care were identified.

Results: We found that parents valued easily accessible, tailored, family-centred care that is a display of interprofessional collaboration and is geared towards supporting and empowering parents.

Discussion: Study strengths are its qualitative nature, allowing for in-depth patient views and experiences, and the multidisciplinary research team, which ensured a multidimensional view of the issue.

Conclusion: Ideally, (a) parents enter the postnatal period well-prepared, and well-informed about self-care, PCHC and possible postnatal carepathways, (b) number of caretransfers is limited, (c) by overlapping maternity care and PCHC, parents are provided with an opportunity to maintain meaningful relationships with their care providers, and (d) information is consistent, family-centred, and tailored.

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在母婴保健和儿童健康服务连续体中，父母对护理连续性的看法：一项定性的系统回顾。

导言：虽然世界卫生组织（世卫组织）提倡将产妇保健和预防性儿童保健（PCHC）作为以人为本的综合保健服务组织起来，但在全球范围内，这些服务往往是单独建立的，造成护理的不连续性。我们的目的是综合的证据，是什么影响父母的经验的连续性护理，以及如何促进它。方法：定性系统评价。检索了Embase、Medline、Web of Science、Cochrane、CINAHL和谷歌Scholar关于家长对综合护理的看法的研究。确定了有关护理连续性的有益做法和问题。结果：我们发现，家长重视易于获得的、量身定制的、以家庭为中心的护理，这是一种跨专业合作的展示，旨在为父母提供支持和授权。讨论：研究的优势在于其定性性质，允许深入的患者观点和经验，以及多学科研究团队，这确保了问题的多维视图。结论：理想情况下，(a)父母在产后做好充分准备，并充分了解自我护理、PCHC和可能的产后护理途径，(b)护理转移的数量有限，(c)通过重叠的产科护理和PCHC，父母有机会与护理提供者保持有意义的关系，(d)信息是一致的，以家庭为中心的，量身定制的。

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来源期刊

International Journal of Integrated Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.80

自引率

8.30%

发文量

887

审稿时长

>12 weeks

期刊介绍： Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness. The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer. The Journal is supported by the International Foundation for Integrated Care (IFIC).