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dc.contributor.authorStille, Christopher J.
dc.contributor.authorKorobov, Neill
dc.contributor.authorPrimack, William A.
dc.date2022-08-11T08:09:22.000
dc.date.accessioned2022-08-23T16:28:02Z
dc.date.available2022-08-23T16:28:02Z
dc.date.issued2003-05-24
dc.date.submitted2011-12-09
dc.identifier.citationAmbul Pediatr. 2003 May-Jun;3(3):147-53.
dc.identifier.issn1530-1567 (Linking)
dc.identifier.pmid12708892
dc.identifier.urihttp://hdl.handle.net/20.500.14038/36927
dc.description.abstractOBJECTIVE: To describe barriers and facilitators to effective generalist-subspecialist communication in the care of children with chronic conditions. METHODS: We conducted 5 focus groups with 14 general pediatricians and 10 pediatric specialty providers to discuss factors that facilitate or obstruct effective communication. The specialty groups included 2 nurse practitioners; the rest were pediatricians from an academic medical center and the surrounding community. We performed a content analysis to generate groups of themes and classify them as barriers or facilitators, and we returned to the participants to solicit their feedback. RESULTS: We identified 201 themes in 6 domains: the method, content, and timing of communication; system factors; provider education; and interpersonal issues. Barriers to communication mostly involved the method of communication and system factors. Most facilitating themes promoted timely communication, understanding of the reasons for referral and the nature of the child's condition, or appropriate definition of generalist and specialist roles. Participants described numerous examples where communication had direct effects on patient outcomes. Generalists and specialists agreed on many issues, although specialists discussed the pros and cons of curbside consults at length whereas generalists emphasized the importance of their own education in the referral-consultation process. CONCLUSIONS: Efforts to improve communication between pediatric generalists and specialists in the care of children with chronic conditions should emphasize the importance of timely information transfer. The content of messages is important, but lack of receipt when needed is more of a problem. Improving generalist-subspecialist communication has great potential to improve the quality of care.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=12708892&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1367/1539-4409(2003)003%3C0147:GCACWC%3E2.0.CO;2
dc.subjectChild
dc.subjectChild Health Services
dc.subjectChronic Disease
dc.subjectCommunication Barriers
dc.subjectDisabled Children
dc.subjectFamily Practice
dc.subjectFeedback
dc.subjectFocus Groups
dc.subjectHumans
dc.subjectInformation Dissemination
dc.subject*Interdisciplinary Communication
dc.subjectMassachusetts
dc.subjectNurse Practitioners
dc.subjectPediatric Nursing
dc.subjectPediatrics
dc.subjectPrimary Health Care
dc.subjectHealth Services Research
dc.subjectPrimary Care
dc.titleGeneralist-subspecialist communication about children with chronic conditions: an analysis of physician focus groups
dc.typeJournal Article
dc.source.journaltitleAmbulatory pediatrics : the official journal of the Ambulatory Pediatric Association
dc.source.volume3
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/meyers_pp/309
dc.identifier.contextkey2396670
html.description.abstract<p>OBJECTIVE: To describe barriers and facilitators to effective generalist-subspecialist communication in the care of children with chronic conditions.</p> <p>METHODS: We conducted 5 focus groups with 14 general pediatricians and 10 pediatric specialty providers to discuss factors that facilitate or obstruct effective communication. The specialty groups included 2 nurse practitioners; the rest were pediatricians from an academic medical center and the surrounding community. We performed a content analysis to generate groups of themes and classify them as barriers or facilitators, and we returned to the participants to solicit their feedback.</p> <p>RESULTS: We identified 201 themes in 6 domains: the method, content, and timing of communication; system factors; provider education; and interpersonal issues. Barriers to communication mostly involved the method of communication and system factors. Most facilitating themes promoted timely communication, understanding of the reasons for referral and the nature of the child's condition, or appropriate definition of generalist and specialist roles. Participants described numerous examples where communication had direct effects on patient outcomes. Generalists and specialists agreed on many issues, although specialists discussed the pros and cons of curbside consults at length whereas generalists emphasized the importance of their own education in the referral-consultation process.</p> <p>CONCLUSIONS: Efforts to improve communication between pediatric generalists and specialists in the care of children with chronic conditions should emphasize the importance of timely information transfer. The content of messages is important, but lack of receipt when needed is more of a problem. Improving generalist-subspecialist communication has great potential to improve the quality of care.</p>
dc.identifier.submissionpathmeyers_pp/309
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages147-53


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