Care coordination between medical and early intervention services: family and provider perspectives
Abstract
The purpose of this exploratory study is to identify facilitators and barriers to care coordination between medical and early intervention (EI) providers for children with special health care needs and their families. Fifty adults participated in one of six focus groups. Participants included parents/caregivers, pediatricians, hospital therapy providers, and EI providers. Guiding questions were designed to obtain participants perceptions. All focus groups were audiotaped and transcribed. Transcript analysis included identification of open codes, grouping into axial codes and using constant comparative methods in data analysis. The two primary researchers established interrater reliability (κ = 0.85) before data analysis. The six themes that emerged from data analysis are as follows: (1) information exchange; (2) approaches toward child and family care; (3) supporting family social and emotional needs; (4) perceptions of service provider roles; (5) communication among parents and providers; and (6) understanding service delivery systems. Focus group participants suggested that provider roles should be defined and family and child strengths and needs should be addressed. Recommendations for improved care coordination were provided and include communication training and skill building and using technology to enhance communication and collaboration.
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- Authors
- O'Neil, M. E., Ideishi, R. I., Nixon-Cave, K., & Kohrt, A.
- Affiliations
- University of the Sciences (US)
- Children's Healthcare of Atlanta (US)
- ORCID
- Ideishi, Roger I.
- Venue
- Families, Systems, & Health
- Published
- 2008-06
- Volume
- 26
- Issue
- 2
- Pages
- 119-134
- ISSN
- 1091-7527 (ISSN-L)
- 1939-0602
- OpenAlex
- W2010181948
- Cited by
- 22
- References
- 41
- Citations by year
- 2025: 3 · 2024: 4 · 2022: 2 · 2020: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Families Systems & Health (publishedVersion)
- Funders
- City of Philadelphia
- Division of Maternal, Child and Family Health
- Children with Special Health Care
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- care coordination, early intervention, healthcare workers, children with special health care needs, family perspectives, provider perspectives, information sharing, parent-provider communication, provider role, service delivery systems, communication training
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