TY - JOUR
T1 - Coordination of early childhood home visiting and health care providers
AU - Paradis, Heather A.
AU - Belknap, Amanda
AU - O'Neill, Kay M.G.
AU - Baggett, Sally
AU - Minkovitz, Cynthia S.
N1 - Funding Information:
This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under UD5MC24070 and UD5MC30792 , Maternal, Infant and Early Childhood Home Visiting Research Network. The current award is for a total amount of , Maternal, Infant and Early Childhood Home Visiting Research Network. The current award is for a total amount of $1,300,000. The content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.,300,000. The content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Publisher Copyright:
© 2017 Elsevier Ltd
PY - 2018/1
Y1 - 2018/1
N2 - Although early childhood home visiting (HV) programs and primary care often have overlapping goals for child health and family well-being, little is known about the extent of coordination between HV and medical providers for women and children. The current study sought to measure coordination between HV and primary care medical providers, and to identify factors that influence its achievement. We developed and administered a web-based survey of HV providers who are members of the Home Visiting Applied Research Collaborative (HARC), a voluntary national network of HV programs, networks, and researchers. Program managers reported on coordination activities, health outcomes of the HV program, and supports for coordination. The 80 respondents indicated that nearly all HV programs ask whether and where participants receive primary medical care. However, less than half hold memoranda of understanding (MOU) agreements or regularly communicate with medical providers. Regular communication of HV programs with medical providers for women or children was positively associated with selected eligibility requirements (teenage mother, low-income family), having performance standards for one or more health related outcomes, favorable coordination perspectives by HV supervisors, and HV program supports for coordination (policies for training and supervision regarding coordination, MOU, and participation in medical visits) (all p < 0.05). Despite recent efforts to improve coordination between HV and medical providers, the extent of coordination remains limited.
AB - Although early childhood home visiting (HV) programs and primary care often have overlapping goals for child health and family well-being, little is known about the extent of coordination between HV and medical providers for women and children. The current study sought to measure coordination between HV and primary care medical providers, and to identify factors that influence its achievement. We developed and administered a web-based survey of HV providers who are members of the Home Visiting Applied Research Collaborative (HARC), a voluntary national network of HV programs, networks, and researchers. Program managers reported on coordination activities, health outcomes of the HV program, and supports for coordination. The 80 respondents indicated that nearly all HV programs ask whether and where participants receive primary medical care. However, less than half hold memoranda of understanding (MOU) agreements or regularly communicate with medical providers. Regular communication of HV programs with medical providers for women or children was positively associated with selected eligibility requirements (teenage mother, low-income family), having performance standards for one or more health related outcomes, favorable coordination perspectives by HV supervisors, and HV program supports for coordination (policies for training and supervision regarding coordination, MOU, and participation in medical visits) (all p < 0.05). Despite recent efforts to improve coordination between HV and medical providers, the extent of coordination remains limited.
UR - http://www.scopus.com/inward/record.url?scp=85044517817&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044517817&partnerID=8YFLogxK
U2 - 10.1016/j.childyouth.2017.12.029
DO - 10.1016/j.childyouth.2017.12.029
M3 - Article
AN - SCOPUS:85044517817
SN - 0190-7409
VL - 85
SP - 202
EP - 210
JO - Children and Youth Services Review
JF - Children and Youth Services Review
ER -