Evidence map›Paper›PMID 24936004›Full record

ArticlePediatrics2014

Well-child care clinical practice redesign for serving low-income children.

Tumaini R Coker, Candice Moreno, Paul G Shekelle, Mark A Schuster, Paul J Chung

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02262962 nacompletednot on this map

Well-Child Care Redesign: A New Model of Care for Children in Low-Income Families

TypeinterventionalSponsorUniversity of California, Los AngelesRan2005 to 2015Enrolled251ConditionsPreventive Health Services, Health PromotionArmsRedesigned Well-Child Care
NCT03797898 nacompletednot on this mapstarted 2019, after this paper: background citation

Well-Child Care Clinical Practice Redesign: A Parent Coach-Led Model of Care for Young Children

TypeinterventionalSponsorSeattle Children's HospitalRan2019 to 2022Enrolled937ConditionsPreventive Health Services, Health PromotionArmsParent Coach
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  3. Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.American journal of medical quality : the official journal of the American College of Medical Quality
    Pooled it
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  14. The Nature, Logic, and Significance of Strong Communities for Children.International journal on child maltreatment : research, policy and practice · 2020
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  18. Medical Record Keeping in the Summer Camp Setting.Applied clinical informatics · 2016
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Tumaini R CokerUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, andRAND, Santa Monica, California; tcoker@mednet.ucla.edu.
Candice MorenoUniversity of Illinois College of Medicine, Chicago, Illinois;
Paul G ShekelleRAND, Santa Monica, California;Department of Internal Medicine, West Los Angeles VA Hospital, Los Angeles, California;Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California;
Mark A SchusterDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts;Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; and.
Paul J ChungUCLA Children's Discovery and Innovation Institute, Mattel Children's Hospital, andRAND, Santa Monica, California;Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California.
Harvard University · USIllinois College · USMattel Children's Hospital · USUCLA Health · USUniversity of California, Los Angeles · US

Funding

NICHD NIH HHS K23-HD06267PHS HHS R40-MC21516
6 · The paper itself

Abstract

Our objective was to conduct a rigorous, structured process to create a new model of well-child care (WCC) in collaboration with a multisite community health center and 2 small, independent practices serving predominantly Medicaid-insured children. Working groups of clinicians, staff, and parents (called "Community Advisory Boards" [CABs]) used (1) perspectives of WCC stakeholders and (2) a literature review of WCC practice redesign to create 4 comprehensive WCC models for children ages 0 to 3 years. An expert panel, following a modified version of the Rand/UCLA Appropriateness Method, rated each model for potential effectiveness on 4 domains: (1) receipt of recommended services, (2) family-centeredness, (3) timely and appropriate follow-up, and (4) feasibility and efficiency. Results were provided to the CABs for selection of a final model to implement. The newly developed models rely heavily on a health educator for anticipatory guidance and developmental, behavioral, and psychosocial surveillance and screening. Each model allots a small amount of time with the pediatrician to perform a brief physical examination and to address parents' physical health concerns. A secure Web-based tool customizes the visit to parents' needs and facilitates previsit screening. Scheduled, non-face-to-face methods (text, phone) for parent communication with the health care team are also critical to these new models of care. A structured process that engages small community practices and community health centers in clinical practice redesign can produce comprehensive, site-specific, and innovative models for delivery of WCC. This process, as well as the models developed, may be applicable to other small practices and clinics interested in practice redesign.

Indexed as

Models, OrganizationalChild Health ServicesChild, PreschoolHumansInfantInfant, NewbornPovertyUnited Statespractice redesignpreventive carewell-child care

Identifiers

PMID24936004
PMCPMC4067638
OpenAlexW2153896610

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.