Academic pediatrics · 2025
Clinician and Care Manager Perspectives on Addressing Chronic School Absenteeism in Primary Care Settings.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Shankar Michelle, Teiko Pearl, Wertman Eleanor, Haughton Jessica, Flower Kori B, Steiner Michael J, Cholera Rushina
Аннотация
OBJECTIVES: To characterize primary care clinician and care manager perceptions and practice regarding chronic absenteeism.
METHODS: In this qualitative study, we developed a semistructured interview guide using the Consolidated Framework for Implementation Research. We conducted Zoom interviews (July to August 2023) with primary care clinicians and care managers affiliated with a child-focused alternative payment model serving Medicaid- and Children's Health Insurance Program-enrolled children in a 5-county region of central North Carolina. Interviews were recorded, transcribed, and analyzed iteratively using a rapid qualitative analytic approach.
RESULTS: We interviewed 12 participants including 6 clinicians and 6 care managers serving families across urban, rural, academic, and community settings. Key themes included a lack of systematic and universal approaches to discussing school attendance, limited infrastructure for school-health system collaboration resulting in caregiver burden, importance of family engagement, and leveraging unique spheres of influence for multidisciplinary collaboration.
CONCLUSIONS: Clinicians and care managers support addressing chronic absenteeism but perceive provider, patient, and system-level barriers to identifying and addressing underlying needs. Perceived facilitators include leveraging strong relationships with families and multidisciplinary collaboration. Health system efforts to operationalize chronic absenteeism as a health metric and to coordinate services across health, education, and social sectors may improve long-term health and academic outcomes.
METHODS: In this qualitative study, we developed a semistructured interview guide using the Consolidated Framework for Implementation Research. We conducted Zoom interviews (July to August 2023) with primary care clinicians and care managers affiliated with a child-focused alternative payment model serving Medicaid- and Children's Health Insurance Program-enrolled children in a 5-county region of central North Carolina. Interviews were recorded, transcribed, and analyzed iteratively using a rapid qualitative analytic approach.
RESULTS: We interviewed 12 participants including 6 clinicians and 6 care managers serving families across urban, rural, academic, and community settings. Key themes included a lack of systematic and universal approaches to discussing school attendance, limited infrastructure for school-health system collaboration resulting in caregiver burden, importance of family engagement, and leveraging unique spheres of influence for multidisciplinary collaboration.
CONCLUSIONS: Clinicians and care managers support addressing chronic absenteeism but perceive provider, patient, and system-level barriers to identifying and addressing underlying needs. Perceived facilitators include leveraging strong relationships with families and multidisciplinary collaboration. Health system efforts to operationalize chronic absenteeism as a health metric and to coordinate services across health, education, and social sectors may improve long-term health and academic outcomes.