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The Role of State Context in Promoting Service Coordination in Maternal, Infant, and Early Childhood Home Visiting Programs
- Source :
- Journal of Public Health Management and Practice. 26:E9-E18
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Context The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program provides funding to states to promote health and development of at-risk expectant families and families with young children. MIECHV programs are required to coordinate services within a larger system of care; yet, little is known about state-level factors that support coordination. Objective This study examined state-level supports and barriers for coordination of home visiting with other entities within the early childhood system of care. Methods A Web-based survey was distributed in 2016 via e-mail to MIECHV administrators in all 50 states, 5 US territories, and the District of Columbia. The survey elicited information on 5 domains shown by theory and prior research to support coordination: MIECHV leadership, state leadership, shared goals across sectors, data systems, and finance. Respondents also rated their perceptions of state-level coordination. Results Forty-two (75%) of the MIECHV administrators participated in the survey. States and territories varied widely within and across the 5 domains of support for coordination. MIECHV leadership was an area of relative strength, whereas data systems and finance showed the most room for improvement. State leadership and shared goals were associated with stronger perceptions of state-level coordination. Conclusions The findings indicate opportunities for shared learning among states to enhance coordination infrastructure. Such efforts should include multiple stakeholder perspectives and consideration of local and organizational contexts. This work could be facilitated using the service coordination toolkit developed as part of this project.
- Subjects :
- Male
Postnatal Care
Maternal-Child Health Services
Shared learning
media_common.quotation_subject
Context (language use)
System of care
03 medical and health sciences
0302 clinical medicine
State (polity)
Surveys and Questionnaires
Perception
Humans
030212 general & internal medicine
Early childhood
Program Development
Child
media_common
Service (business)
030505 public health
business.industry
Health Policy
Infant, Newborn
Public Health, Environmental and Occupational Health
Infant
Continuity of Patient Care
Public relations
Home Care Services
United States
House Calls
Work (electrical)
Female
0305 other medical science
business
Psychology
Program Evaluation
State Government
Subjects
Details
- ISSN :
- 10784659
- Volume :
- 26
- Database :
- OpenAIRE
- Journal :
- Journal of Public Health Management and Practice
- Accession number :
- edsair.doi.dedup.....adcca1437b77277c7c6930916ebb88f5