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Perspectives on Health Equity in Canadian Pediatric Academic Hospitals: A Qualitative Study.

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Názov: Perspectives on Health Equity in Canadian Pediatric Academic Hospitals: A Qualitative Study.
Autori: Naguib M; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada., St-Georges J; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada., Korman C; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada., Chabot A; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada., Benkelfat R; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada.; Montreal Children's Hospital, McGill University Health Centre, Montreal, Québec, Canada., Li P; Department of Pediatrics, Faculty of Health Sciences, McGill University, Montreal, Québec, Canada.; Montreal Children's Hospital, McGill University Health Centre, Montreal, Québec, Canada.; Research Institute of the McGill University Health Centre, Montreal, Québec, Canada.
Zdroj: Hospital pediatrics [Hosp Pediatr] 2025 Dec 01; Vol. 15 (12), pp. 1022-1030.
Spôsob vydávania: Journal Article
Jazyk: English
Informácie o časopise: Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE
Imprint Name(s): Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics
Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine
Výrazy zo slovníka MeSH: Health Equity* , Hospitals, Pediatric*/organization & administration , Attitude of Health Personnel* , Academic Medical Centers*, Humans ; Canada ; Qualitative Research ; Interviews as Topic ; Child
Abstrakt: Background and Objectives: Researchers and health care professionals are increasingly asserting the urgent need for effective practices and policies to address child health inequities. However, there is a paucity of data on current approaches implemented in pediatric hospitals. We sought to explore health care professionals' and interest holders' perspectives on addressing health equity in Canadian pediatric academic hospitals.
Methods: We conducted an interpretative descriptive qualitative study involving semi-structured interviews with a purposive and snowball sample of pediatrics residents, staff pediatricians, allied health professionals, and key stakeholders working at pediatric academic hospitals in Canada. We conducted interviews via video conferencing between 2021 and 2023 and analyzed data using reflexive thematic analysis.
Results: We interviewed at least 1 pediatric resident and 1 staff member (including pediatricians, allied health professionals, and key stakeholders involved in health equity) at all 17 pediatric academic hospitals in Canada. Through the 42 interviewees, the following 5 main themes (along with 12 subthemes) emerged: (1) health equity was evolving across institutions; (2) institutions were navigating reactive and proactive approaches; (3) there were siloed efforts and missed opportunities for enhanced collaboration; (4) there were gaps and ethical considerations in health equity data collection; and (5) to achieve health equity throughout an organization, institutional representation and engagement was a necessity. Barriers and facilitators to health equity work were identified, as well as examples of applicable interventions.
Conclusions: There were a myriad of health equity interventions that exist in Canadian pediatric hospitals, although they were evolving and maturing. Learnings can be shared across institutions.
(Copyright © 2025 by the American Academy of Pediatrics.)
Entry Date(s): Date Created: 20251117 Date Completed: 20251130 Latest Revision: 20251130
Update Code: 20251201
DOI: 10.1542/hpeds.2024-008284
PMID: 41248891
Databáza: MEDLINE
Popis
Abstrakt:Background and Objectives: Researchers and health care professionals are increasingly asserting the urgent need for effective practices and policies to address child health inequities. However, there is a paucity of data on current approaches implemented in pediatric hospitals. We sought to explore health care professionals' and interest holders' perspectives on addressing health equity in Canadian pediatric academic hospitals.<br />Methods: We conducted an interpretative descriptive qualitative study involving semi-structured interviews with a purposive and snowball sample of pediatrics residents, staff pediatricians, allied health professionals, and key stakeholders working at pediatric academic hospitals in Canada. We conducted interviews via video conferencing between 2021 and 2023 and analyzed data using reflexive thematic analysis.<br />Results: We interviewed at least 1 pediatric resident and 1 staff member (including pediatricians, allied health professionals, and key stakeholders involved in health equity) at all 17 pediatric academic hospitals in Canada. Through the 42 interviewees, the following 5 main themes (along with 12 subthemes) emerged: (1) health equity was evolving across institutions; (2) institutions were navigating reactive and proactive approaches; (3) there were siloed efforts and missed opportunities for enhanced collaboration; (4) there were gaps and ethical considerations in health equity data collection; and (5) to achieve health equity throughout an organization, institutional representation and engagement was a necessity. Barriers and facilitators to health equity work were identified, as well as examples of applicable interventions.<br />Conclusions: There were a myriad of health equity interventions that exist in Canadian pediatric hospitals, although they were evolving and maturing. Learnings can be shared across institutions.<br /> (Copyright © 2025 by the American Academy of Pediatrics.)
ISSN:2154-1671
DOI:10.1542/hpeds.2024-008284