University of the Sciences, Philadelphia, Pennsylvania, USA.
Phys Occup Ther Pediatr. 2010 Feb;30(1):28-42. doi: 10.3109/01942630903337478.
This study explored perspectives of therapist's role in care coordination between early intervention (EI) and medical services, and identified strategies for improving service delivery. Fifty adults participated in one of six focus groups. Participants included parents, pediatricians, and therapists working in hospital and EI programs. Structured guiding questions were used to obtain participants' perceptions. Transcript analysis included open code identification, axial code grouping, and constant comparative methods. The researchers established inter-rater reliability (kappa = 0.85) in the coding scheme before data analysis. The themes identified included information exchange, communication among parents and therapists, approaches toward child and family care, supporting social and emotional needs, perceptions of therapists' roles, and understanding service delivery systems to improve care coordination. Participants recommended training for therapy service providers and pediatricians in the areas of child development, team building, and service systems. Family-centered strategies emphasizing systems of care are recommended to improve therapists' role in care coordination.
本研究探讨了治疗师在早期干预（EI）和医疗服务之间的护理协调中的角色观点，并确定了改善服务提供的策略。五十名成年人参加了六个焦点小组中的一个。参与者包括在医院和 EI 项目中工作的家长、儿科医生和治疗师。使用结构化的引导问题来获得参与者的看法。转录分析包括开放代码识别、轴向代码分组和恒比方法。在数据分析之前，研究人员在编码方案中建立了评分者间可靠性（kappa = 0.85）。确定的主题包括信息交换、父母和治疗师之间的沟通、针对儿童和家庭护理的方法、支持社会和情感需求、对治疗师角色的看法以及了解服务提供系统以改善护理协调。参与者建议为治疗服务提供者和儿科医生提供儿童发展、团队建设和服务系统方面的培训。建议采用以家庭为中心的策略，强调护理系统，以改善治疗师在护理协调中的角色。
