CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Canada.
Bloorview Research Institute, Toronto, Canada.
Disabil Rehabil. 2024 Jun;46(12):2670-2683. doi: 10.1080/09638288.2023.2229733. Epub 2023 Jul 7.
Family-centred service (FCS) is an established approach for delivering services in children's rehabilitation and healthcare. This article describes that parents continue to report mixed experiences with healthcare services for their children, as well as their ideas about what they need and want from these services. These findings will inform the development of an up-to-date measure of Family-Centred Service called Measure of Processes of Care (MPOC 2.0).
A qualitative descriptive study was conducted with parents, using focus groups and open-ended interviews. Data were analyzed using inductive content analysis.
Parents want care that is individualized, co-ordinated, easily accessible, and takes into account the entire family dynamic. They want service providers (SPs) to be informed and invested in their child's care, and to provide parents with practical assistance. They also want to be treated with respect, caring and empathy, and to work together with SPs on the care plan. Novel components of care not identified in the original FCS guiding principles include: responsiveness to needs and mental health; effective communication (vs information giving); practical support (in addition to emotional and informational support); and availability and scheduling.
This article identifies components of healthcare that families find helpful and desirable.
以家庭为中心的服务(FCS)是为儿童康复和医疗保健提供服务的既定方法。本文描述了父母对子女医疗服务的体验仍然喜忧参半,以及他们对这些服务的需求和期望。这些发现将为开发一种名为护理过程测量(MPOC 2.0)的最新家庭为中心的服务测量方法提供信息。
采用焦点小组和开放式访谈对父母进行定性描述性研究。使用归纳内容分析法对数据进行分析。
父母希望得到个性化、协调、易于获得并考虑整个家庭动态的护理。他们希望服务提供者(SPs)了解并关注孩子的护理,并为父母提供实际帮助。他们还希望得到尊重、关心和同情,并与 SPs 一起制定护理计划。护理的新内容包括对需求和心理健康的响应;有效的沟通(而不仅仅是信息提供);实际支持(除了情感和信息支持);以及可用性和日程安排。
本文确定了家庭认为有帮助和可取的医疗保健内容。