Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Communication between Key stakeholders within a medical home: A qualitative study

TitleCommunication between Key stakeholders within a medical home: A qualitative study
Publication TypeJournal Article
Year of Publication2009
AuthorsNelson, CS, Tandon, SD, Duggan, AK, Serwint, JR
JournalClinical Pediatrics
ISBN Number00099228 (ISSN)
KeywordsAdolescent, Adult, article, child care, Communication, Communication Barriers, Comprehensive Health Care, Confidentiality, controlled study, Cross-Sectional Studies, cross-sectional study, family counseling, Female, Focus Groups, health care personnel, Home Care Services, Homevisitors, House Calls, human, Humans, interpersonal communication, Interprofessional Relations, Male, medical care, medical information, Medicalhome, parental attitude, parental consent, patient care, Pediatrics, practice guideline, professional practice, Professional Role, professional secrecy, Professional-Family Relations, Qualitative Research, United States, Young Adult

The objective of this study was to determine perceived benefits, detriments, and barriers to communication between pediatric providers and home visitors. The authors performed a cross-sectional, qualitative study consisting of 3 focus groups with paraprofessional home visitors (n = 12), 6 with parents receiving home visiting (n = 33), and 4 with pediatric providers whose patients received home visiting (n = 19). Emerging themes were generated by an inductive analytic approach. Perceived benefits included home visitors assisting parents with communication, giving providers family information, and reinforcing providers' guidance. Detriments included parental concern of sharing confidential information and providers becoming aware of family issues for which they are unprepared to act. Barriers included parental consent, logistics of home visitorĝ€"provider communication, and providers' lack of knowledge about home visitor programs/roles. Greater coordination between home visitation programs and pediatric providers may strengthen home visiting services and reinforce advice and anticipatory guidance given by providers. © 2009 SAGE Publications.