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Open Access 01-06-2019 | Review

It takes a village: a realist synthesis of social pediatrics program

Authors: Ingrid Tyler, Judith Lynam, Patricia O’Campo, Heather Manson, Meghan Lynch, Behnoosh Dashti, Nicole Turner, Andrea Feller, Elizabeth Lee Ford-Jones, Sue Makin, Christine Loock

Published in: International Journal of Public Health | Issue 5/2019

Abstract

Objectives

To better understand how social pediatric initiatives (SPIs) enact equitable, integrated, embedded approaches with high-needs children and families while facilitating proportionate distribution of health resources.

Methods

The realist review method incorporated the following steps: (1) identifying the review question, (2) formulating the initial theory, (3) searching for primary studies, (4) selecting and appraising study quality, (5) synthesizing relevant data and (6) refining the theory.

Results

Our analysis identified four consistent patterns of care that may be effective in social pediatrics: (1) horizontal partnerships based on willingness to share status and power; (2) bridged trust initiated through previously established third party relationships; (3) knowledge support increasing providers’ confidence and skills for engaging community; and (4) increasing vulnerable families’ self-reliance through empowerment strategies.

Conclusions

This research is unique because it focused on “how” outcomes are achieved and offers insight into the knowledge, skills and philosophical orientation clinicians need to effectively deliver care in SPIs. Research insights offer guidance for organizational leaders with a mandate to address child and youth health inequities and may be applicable to other health initiatives.

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Title: It takes a village: a realist synthesis of social pediatrics program
Authors: Ingrid Tyler
Judith Lynam
Patricia O’Campo
Heather Manson
Meghan Lynch
Behnoosh Dashti
Nicole Turner
Andrea Feller
Elizabeth Lee Ford-Jones
Sue Makin
Christine Loock
Publication date: 01-06-2019
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 5/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1190-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

It takes a village: a realist synthesis of social pediatrics program

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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