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

Ingrid Tyler (), Judith Lynam (), Patricia O’Campo, Heather Manson (), Meghan Lynch (), Behnoosh Dashti (), Nicole Turner (), Andrea Feller (), Elizabeth Lee Ford-Jones (), Sue Makin and Christine Loock ()
Additional contact information
Ingrid Tyler: Fraser Health Authority
Judith Lynam: University of British Columbia
Patricia O’Campo: St. Michael’s Hospital
Heather Manson: Public Health Ontario
Meghan Lynch: University of Toronto
Behnoosh Dashti: CCFP Iroquois Ridge Medical Centre
Nicole Turner: RD McMaster Children’s Hospital
Andrea Feller: FAAP, FACPM Niagara Region, Public Health
Elizabeth Lee Ford-Jones: FRCP(C) Hospital for Sick Children
Sue Makin: Toronto Public Health (retired)
Christine Loock: University of British Columbia

International Journal of Public Health, 2019, vol. 64, issue 5, No 8, 701 pages

Abstract: 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.

Keywords: Social pediatrics; Realist methodology; Whole child; Interprofessional practice; Health equity; Community-based practice; Trust; Partnership working; Professional education; Empowerment (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (3)

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DOI: 10.1007/s00038-018-1190-7

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