A​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​ student post this as a discussion post. Please reply wit

A​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​ student post this as a discussion post. Please reply with 1 up to date reference.
During this rotation involving collaboration, the experience that I have encountered pertains to a ten-year-old boy who lives at home with his nine siblings, ages ranging from 2-13-years-old. The child’s parents currently face financial hardship due to disability and unemployment.
Financial hardship is a social determinant of health that can significantly impact families trying to access care. The patient was diagnosed with asthma at five years old and has a history of multiple inpatient admissions for asthma exacerbations to the hospital due to limited financial resources to be compliant with his medication regimen to treat his asthma, missing follow-appointments, and non-adherence to the prescribed medications. Early detection and management of poverty-related disorders is a recommended pediatric practice (Lax et al., 2021).
Collaboration between public health professionals (or public health organizations) and primary care providers (or primary care organizations) is a strategy for improving population health in communities (Pratt et al., 2018). Although primary care focuses on providing care to individuals, interest in addressing population-level health, responding to the social determinants of health, and exploring how to build collaborative relationships outside primary care clinics has increased (Pratt et al., 2018).
From what I have observed in my pediatric clinical rotation, the barriers to collaboration involve shared decision-making between the providers and the parent. The parents needed to be provided with resources that would be beneficial for them to become compliant with appointments and purchasing the prescribed medications. Effective collaboration is essential in providing quality healthcare when healthcare providers offer health information to the patients and their family members who lack health literacy ​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​and cannot make health decisions (McCrae et al., 2021). Health literacy is critical because it allows the patients and their family members to be informed about their health, and to make health decisions without depending on the healthcare provider.
Shared decision-making (SDM) is an evidence-based approach that promotes collaboration between patients, family members, and healthcare providers (HCP) when making health decisions (Boland et al., 2019). By exchanging information about the evidence (options, risks, and benefits) and the patient and family’s preferences and values, HCPs, patients, and family members can deliberate to determine the best treatment plan (Boland et al., 2019). This approach to decision-making is considered essential for patient-centered care, has garnered increasing international support among policymakers, and is recommended by pediatric regulatory organizations (Boland et al., 2019).
Some barriers to collaboration can be changes to health care billing, and demands on provider time require systems change to overcome, whereas others a lack of shared priorities and mutual awareness) could be addressed through educational approaches without adding resources or making a systemic change (McCrae et al., 2021). Overcoming these common barriers may lead to more effective collaboration (Pratt et al., 2018).
By providing the child’s parents with health education on the importance of keeping all scheduled follow-up appointments, health care resources, and a referral to social work, and informing the parents to adhere to the drug regimen to reduce the number of inpatient admissions in the hospital for asthma exacerbation allowed the child to remain in school and prevent developmental delays. This resulted in an improved outcome because the social worker and case manager assigned to the parents provided the assistance that was needed to minimize the social determinant that impacted their​‌‍‍‍‌‍‌‍‍‍‌‌‌‍‌‌‌‌‌‌​ lives.

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