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Perceived needs for team-based visits in Swedish child healthcare services exceed ints existence - A mixed method study targeting healthcare professionals
Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden;Center for Clinical Research Sörmland Uppsala University Eskilstuna Sweden.ORCID iD: 0000-0002-1438-8531
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Hållbart arbetsliv)ORCID iD: 0000-0002-3536-7182
Uppsala universitet.
Uppsala universitet.
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2022 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 111, no 3, p. 653-666Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate both quantatively and qualitatively the differences between participation in team-based visist (TBVs) an perceived needs for TBVs from the perspectives of healthcare professionals, in the context of the Swedish three-tier national child healthcare program.

METHODS: A studfy-specific qustionnaire, including multipel-choice questions with fixed and free-text response options, was developed and used. To capture healthcare professionals' experiences and find explanations for the quantitative results in qualitative data, a convergent parallel mixed-methods study design was ued. Descriptive statistics and Mcnemar's test were used to analyze the quantitative data, and content analysis was used to analyse the qualitative data.

RESULTS: Healthcare professionals perceived the needs fot TBVs in the Swedish child helathcare services (CHS), especially in cases with complex needs. The largest differences between the perceived needs for TBVs and experienced TBVs was seen for targeted TBVs on indications associated with psyjosocial problems. The quantitative findings were explored by the qualitative findings. Both individual and organisational factors influenced TBVs.

CONCLUSION: Perceived needs for TBVs in Swedish (CHS) exceeds ints existence. Healthcare professionals require TBVs delivered by interprofessional teams, in line with proprtionate universalism. To realize this, organisational structurer (e.g. co-location and clear instructions on how to distribute TBVs) and human resources (e.g. psychologists and social workers) are needed. 

Place, publisher, year, edition, pages
2022. Vol. 111, no 3, p. 653-666
Keywords [en]
Child healthcare services, team-based visits, interprofessional teamwork, mixed method, proprotionate universalism
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-56744DOI: 10.1111/apa.16193ISI: 000728734500001Scopus ID: 2-s2.0-85120847375OAI: oai:DiVA.org:mdh-56744DiVA, id: diva2:1620346
Available from: 2021-12-15 Created: 2021-12-15 Last updated: 2022-03-17Bibliographically approved

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