@article{ref1,
title="It takes a village: a realist synthesis of social pediatrics program",
journal="International journal of public health",
year="2019",
author="Tyler, Ingrid and Lynam, Judith and O'Campo, Patricia and Manson, Heather and Lynch, Meghan and Dashti, Behnoosh and Turner, Nicole and Feller, Andrea and Ford-Jones, Elizabeth Lee and Makin, Sue and Loock, Christine",
volume="64",
number="5",
pages="691-701",
abstract="OBJECTIVES: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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. <br><br>CONCLUSIONS: This research is unique because it focused on &quot;how&quot; 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.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.1007/s00038-018-1190-7",
url="http://dx.doi.org/10.1007/s00038-018-1190-7"
}