Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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.
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.
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.
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.
Arai L, Britten N, Popay J, Roberts H, Pettigrew M, Rodgers M, Sowden A (2007) Testing methodological developments in the conduct of narrative synthesis: a demonstration review of research on the implementation of smoke alarm interventions. Evid Policy 3(3):361–383 CrossRef
Astbury B, Leeuw FL (2010) Unpacking black boxes: mechanisms and theory building in evaluation. Am J Eval 31(3):363–381 CrossRef
Beck AF, Henize AW, Kahn RS, Reiber KL, Young JJ, Klein MD (2014) Forging a pediatric primary care-community partnership to support food-insecure families. Pediatrics 134(2):564–571 CrossRef
Bradford N (2005) Place-based public policy: towards a new urban and community agenda for Canada. Canadian Policy Research Networks, Ottawa
Burkhardt MC, Beck AF, Kahn RS, Klein MD (2012) Are our babies hungry? Food insecurity among infants in urban clinics. Clin Pediatr 51:238–243 CrossRef
Coe C, Barlow J (2010) Working in partnership with the voluntary sector: early explorer clinics. Commun Pract 83(11):33–35
CSDH (2008) Closing the gap in a generation: Health equity through action on the social determinants of health. Final report of the commission on Social Determinants of Health. Geneva: World Health Organization
Inside Supply Management (2012) Horizontal collaboration—sharing supply chain assets with your competitors. Institute for Supply Management. http://www.supplychainbrain.com/content/nc/general-scm/single-article-page/article/horizontal-collaboration-sharing-supply-chain-assets-with-your-competitors/. Accessed 16 Nov 2018
Isaacs S, Valaitis R, Newbold KB, Black M, Sargeant J (2013) Brokering for the primary healthcare needs of recent immigrant families in Atlantic, Canada. Prim Health Care ResDev 14:63–79 CrossRef
Julien G (2004) A different kind of care: the social pediatrics approach. McGill-Queens University Press, Montreal
Kane SS, Gerretsen B, Scherpbier R, Dal Poz M, Dieleman M (2010) A realist synthesis of randomized control trials involving use of community health workers for delivering child health interventions in low and middle income countries. BMC Health Serv Res 10:206 CrossRef
Kodner DL, Spreeuwenberg C (2002) Integrated care: meaning, logic, applications, and implications—a discussion paper. Int Integr Care 2:e12
Lynam MJ, Loock C, Scott L, Wong SM, Munroe V, Palmer B (2010) Social paediatrics: creating organizational practices to foster health care access for children ‘at risk’. J Res Nurs 15(4):331–347 CrossRef
Lynam MJ, Grant E, Staden K (2012) Engaging with communities to foster health: the experience of inner-city children and families with learning circles. Can J Nurs Res 44(2):86–106 PubMed
McMohan T, Ward PR (2012) HIV among immigrants living in high income countries: a realist review of evidence to guide targeted approaches to behavioral HIV prevention. Syst Rev 1:56 CrossRef
Ministry of Health (BC) (2007) Primary health care charter: a collaborative approach. Victoria, BC
Oliver C (2012) Critical realist grounded theory: a new approach for social work research. Br J Soc Work 42(2):371–387 CrossRef
Pawson R (2006) Digging for nuggets: how ‘bad’ research can yield ‘good’ evidence. Int J Soc Res Methodol 9:127–142 CrossRef
Pawson R, Tilley N (1977) Realistic evaluation. Sage, London
Quain S (2018) The difference between vertical and horizontal business organizations. Small Business Chronicle. http://smallbusiness.chron.com/difference-between-vertical-horizontal-business-organizations-24915.html. Accessed 16 Nov 2018
Rosella LC, Pach B, Morgan S, Bowman C (2015) Meta-tool for quality appraisal of public health evidence: PHO MetaQAT. Ontario Agency for Health Protection and Promotion (Public Health Ontario). Toronto, ON: Queen’s Printer for Ontario
Spencer N, Colomer C, Alperstein G, Bouvier P, Colomer J, Duperrex O et al (2005) Social paediatrics. J EpidemiolCommunity. Health 59:106–108
The World Bank (2012) World development indicators 2012. In: Documents and Reports. The World Bank
Valentine K, Fisher K, Thomson C (2006) Making integration happen: the families first policy experience. Child Abuse Rev 15(6):414–428 CrossRef
Pawson R, Greenhalgh T, Harvey G, Walshe, K (2004) Realist synthesis: an introduction. Manchester: ESRC Research Methods Programme, University of Manchester. ESRC Working Paper Series: London
Zachariadis M, Scott S, Barrett M (2013) Methodological implications of critical realism for mixed-methods research. MIS Q 37(3):855–879 CrossRef
- It takes a village: a realist synthesis of social pediatrics program
Elizabeth Lee Ford-Jones
- Springer International Publishing