What do parents want from healthcare services? Reports of parents' experiences with pediatric service delivery for their children with disabilities

被引:15
作者
Pozniak, Kinga [1 ]
King, Gillian [2 ]
Chambers, Elizabeth [3 ]
Martens, Rachel [3 ]
Earl, Sarah [3 ]
de Camargo, Olaf Kraus [1 ]
McCauley, Dayle [3 ]
Teplicky, Rachel [3 ]
Rosenbaum, Peter [1 ]
机构
[1] McMaster Univ, CanChild Ctr Childhood Disabil Res, Dept Pediat, Hamilton, ON, Canada
[2] Bloorview Res Inst, Toronto, ON, Canada
[3] McMaster Univ, CanChild Ctr Childhood Disabil Res, Hamilton, ON, Canada
关键词
Parent experiences; disability; family-centred service; MPOC; pediatric health services; pediatric rehabilitation; service delivery; FAMILY-CENTERED CARE; CEREBRAL-PALSY; REHABILITATION; PERCEPTIONS; SUPPORT; AUTISM; PROFESSIONALS; SCHOOL;
D O I
10.1080/09638288.2023.2229733
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
PurposeFamily-centred service (FCS) is an established approach for delivering services in children's rehabilitation and healthcare. This article describes that parents continue to report mixed experiences with healthcare services for their children, as well as their ideas about what they need and want from these services. These findings will inform the development of an up-to-date measure of Family-Centred Service called Measure of Processes of Care (MPOC 2.0).MethodsA qualitative descriptive study was conducted with parents, using focus groups and open-ended interviews. Data were analyzed using inductive content analysis.ResultsParents want care that is individualized, co-ordinated, easily accessible, and takes into account the entire family dynamic. They want service providers (SPs) to be informed and invested in their child's care, and to provide parents with practical assistance. They also want to be treated with respect, caring and empathy, and to work together with SPs on the care plan. Novel components of care not identified in the original FCS guiding principles include: responsiveness to needs and mental health; effective communication (vs information giving); practical support (in addition to emotional and informational support); and availability and scheduling.ConclusionsThis article identifies components of healthcare that families find helpful and desirable.
引用
收藏
页码:2670 / 2683
页数:14
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