Feasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers

Connor, Katherine A.; Durán, Gabriela; Faiz-Nassar, Mariam; Mmari, Kristin; Minkovitz, Cynthia S.

doi:10.1016/j.acap.2017.09.011

Cited by 22 publications

(37 citation statements)

References 27 publications

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“…8,10 Group well-child care is similar: 3 to 8 parent-child dyads receive well-child care during the child's first 1 to 3 years of life for 6 to 9 visits. [11][12][13][14][15][16] Sessions last 75 to 120 minutes and include routine preventive infant care, including immunizations and developmental assessments. 12,14,16 Parents weigh and measure their infant and engage in group discussion about infant health and development and parenting.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13][14][15][16] Sessions last 75 to 120 minutes and include routine preventive infant care, including immunizations and developmental assessments. 12,14,16 Parents weigh and measure their infant and engage in group discussion about infant health and development and parenting. [11][12][13][17][18][19] Visits are conducted by 2 health professionals: a pediatric care provider (physician or nurse practitioner) and another health professional (clinician, nurse, social worker, or child life specialist).…”

Section: Introductionmentioning

confidence: 99%

“…12,14,16 Parents weigh and measure their infant and engage in group discussion about infant health and development and parenting. [11][12][13][17][18][19] Visits are conducted by 2 health professionals: a pediatric care provider (physician or nurse practitioner) and another health professional (clinician, nurse, social worker, or child life specialist). 19,20 Compared with individual care, group prenatal care is associated with improvements in rates of preterm birth and Little attention has been paid to the challenges of sustaining group prenatal care and group well-child care in health care systems accustomed to providing individual care.…”

Section: Introductionmentioning

confidence: 99%

“…17,18,25 It is rated highly by patients, 16,26 enhances parenting confidence and learning, and is associated with increased immunization uptake 27 and provision of social support. 12,13,16,17,28 Group well-child care may be cost-neutral or cost-effective. 20 Despite its appeal, group care is an unfamiliar paradigm in systems accustomed to individual visits, and therefore can be disruptive to introduce.…”

Section: Introductionmentioning

confidence: 99%

“…Although group well-child care sustainability research is limited, 19,26 several researchers noted sustainability challenges, including difficulty recruiting, maintaining adequate group sizes, 17,32 and productivity concerns. 12,17 The purpose of this study was to identify barriers to sustainability and key ingredients that enabled sustainability in sites that had implemented group care, using qualitative research methods. Suggestions for implementing sustainable group care programs will also be provided.…”

Section: Introductionmentioning

confidence: 99%

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Beyond Implementation: Sustaining Group Prenatal Care and Group Well‐Child Care

Novick

Womack

Sadler

2020

J Midwife Womens Health

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Introduction Group prenatal care and group well‐child care (collectively called group care) provide health care in groups. Group care is being introduced in many settings, and the model's benefits are increasingly recognized. Yet, little attention has been paid to understanding model sustainability. This study examined barriers to sustainability and offers suggestions for sustaining group care programs. Methods This qualitative research was guided by interpretive description. Semistructured interviews with 17 professionals were conducted in 4 sites in one community to explore barriers to sustaining group care and key ingredients for sustainability. Sites were 2 clinics that had provided group prenatal care, a clinic currently providing group prenatal care, and a clinic currently providing group well‐child care. Two clinics have continued providing group care and 2 have discontinued it. Participants included midwives, physicians, nurses, and nurse practitioners. Interviews were audio recorded, transcribed, and entered in ATLAS.ti. A priori and inductive coding schemes were developed; code content was compared across individuals, participant types, and settings. Results Five themes were identified: administrative buy‐in, robust recruitment, clinician and staff buy‐in, owning it, and sustainability mindset. Group care needs to be sold to many different constituencies: administrators, staff and clinicians, and patients. Furthermore, sustainability requires having a conscious awareness of the importance of sustainability from the outset, taking ownership by adapting group care to needs of settings, creating venues for expressing divergent viewpoints and problem‐solving, and recognizing that these processes are ongoing with change occurring incrementally. It also includes addressing the need for long‐term financing. Discussion Those implementing group care must be prepared to go beyond managing the logistics of introducing a complex new program; they must also be prepared to develop sustainability mindsets, sell the model to everyone on all levels within their institutions, and advocate for enhanced reimbursement for group care and value‐driven payment systems.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Beyond Implementation: Sustaining Group Prenatal Care and Group Well‐Child Care

Novick

Womack

Sadler

2020

J Midwife Womens Health

View full text Add to dashboard Cite

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Group Well-Child Care and Health Services Utilization: A Bilingual Qualitative Analysis of Parents’ Perspectives

Oldfield

Nogelo

Vázquez

et al. 2019

Matern Child Health J

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A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

Gresh

Wilson

Fenick

et al. 2023

Matern Child Health J

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Objective To use scoping review methods to construct a conceptual framework based on current evidence of group wellchild care to guide future practice and research. Methods We conducted a scoping review using Arksey and O'Malley's (2005) six stages. We used constructs from the Consolidated Framework for Implementation Research and the quadruple aim of health care improvement to guide the construction of the conceptual framework. ResultsThe resulting conceptual framework is a synthesis of the key concepts of group well-child care, beginning with a call for a system redesign of well-child care to improve outcomes while acknowledging the theoretical antecedents structuring the rationale that supports the model. Inputs of group well-child care include health systems contexts; administration/ logistics; clinical setting; group care clinic team; community/patient population; and curriculum development and training. The core components of group well-child care included structure (e.g., group size, facilitators), content (e.g., health assessments, service linkages). and process (e.g., interactive learning and community building). We found clinical outcomes in all four dimensions of the quadruple aim of healthcare. Conclusion Our conceptual framework can guide model implementation and identifies several outcomes that can be used to harmonize model evaluation and research. Future research and practice can use the conceptual framework as a tool to standardize model implementation and evaluation and generate evidence to inform future healthcare policy and practice.

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Feasibility of Implementing Group Well Baby/Well Woman Dyad Care at Federally Qualified Health Centers

Cited by 22 publications

References 27 publications

Beyond Implementation: Sustaining Group Prenatal Care and Group Well‐Child Care

Beyond Implementation: Sustaining Group Prenatal Care and Group Well‐Child Care

Group Well-Child Care and Health Services Utilization: A Bilingual Qualitative Analysis of Parents’ Perspectives

A Conceptual Framework for Group Well-Child Care: A Tool to Guide Implementation, Evaluation, and Research

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