{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:55:05Z","timestamp":1782482105487,"version":"3.54.5"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Care provision for children with anorexia nervosa is provided by outpatient care teams in hospitals, but the way these teams are organized differs per hospital and hampers the continuity of care. The aim of this study is to explore the organization and continuity of care for children with anorexia nervosa in the Netherlands by using a modular perspective.<\/jats:p><jats:p>We conducted a qualitative, exploratory case study and took the healthcare provision for children with anorexia nervosa, provided by outpatient care teams, as our case. We conducted nine interviews with healthcare professionals involved in outpatient care teams from six hospitals. A thematic analysis was used to analyze the data.<\/jats:p><jats:p>The modular perspective offered insights into the work practices and working methods of outpatient care teams. We were able to identify modules (i.e. the separate consultations with the various professionals), and components (i.e. elements of these consultations). In addition, communication mechanisms (interfaces) were identified to facilitate information flow and coordination among healthcare professionals. Our modular perspective revealed gaps and overlap in outpatient care provision, consequently providing opportunities to deal with unnecessary duplications and blind spots.<\/jats:p><jats:p><jats:italic>\u00a0 \u00a0Conclusion<\/jats:italic>: A modular perspective can be applied to explore the organization of outpatient care provision for children with anorexia nervosa. We specifically highlight gaps and overlap in healthcare provision, which in turn leads to recommendations on how to support the three essential parts of continuity of care: informational continuity, relational continuity, and management continuity.\n<jats:table-wrap><jats:table><jats:tbody>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is Known:<\/jats:bold><jats:italic>\u2022 Care provision for children with anorexia nervosa requires a network of health care professionals from different organizations, as a result the organization and provision of care faces challenges.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is New:<\/jats:bold><jats:italic>\u2022 Modular care provision sheds light on the complexity and organization of outpatient care provision and supports the three dimensions of continuity of care as experienced by children with anorexia nervosa and their parents\/caregivers.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                  <\/jats:tbody><\/jats:table><\/jats:table-wrap><\/jats:p>","DOI":"10.1007\/s00431-024-05497-4","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T06:43:26Z","timestamp":1710225806000},"page":"2463-2476","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Continuity of care for children with anorexia nervosa in the Netherlands: a modular perspective"],"prefix":"10.1007","volume":"183","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9025-202X","authenticated-orcid":false,"given":"A. J.","family":"Lennips","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9777-7777","authenticated-orcid":false,"given":"V. J. T.","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. R.","family":"Meijboom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. C.","family":"Nissen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. E. H.","family":"Bunt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"issue":"4","key":"5497_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.5334\/ijic.2944","volume":"17","author":"K Kuluski","year":"2017","unstructured":"Kuluski K, Ho JW, Hans PK, Nelson MLA (2017) Community care for people with complex care needs: bridging the gap between health and social care. Int J Integr Care 17(4):2. https:\/\/doi.org\/10.5334\/ijic.2944","journal-title":"Int J Integr Care"},{"key":"5497_CR2","doi-asserted-by":"publisher","first-page":"1517","DOI":"10.1007\/s00431-023-04851-2","volume":"182","author":"L Cassidy","year":"2023","unstructured":"Cassidy L, Quirke MB, Alexander D, Greene J, Hill K, Connolly M, Brenner M (2023) Integrated care for children living with complex care needs: an evolutionary concept analysis. Eur J Pediatr 182:1517\u20131523. https:\/\/doi.org\/10.1007\/s00431-023-04851-2","journal-title":"Eur J Pediatr"},{"issue":"3","key":"5497_CR3","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1093\/intqhc\/mzt010","volume":"25","author":"MB Aller","year":"2013","unstructured":"Aller MB, Vargas I, Waibel S, Coderch J, Sanchez-Perez I, Colomes L, Llopart JR, Ferran M, Vazquez ML (2013) A comprehensive analysis of patients\u2019 perceptions of continuity of care and their associated factors. Int J Qual Health Care 25(3):291\u2013299. https:\/\/doi.org\/10.1093\/intqhc\/mzt010","journal-title":"Int J Qual Health Care"},{"issue":"7425","key":"5497_CR4","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.1136\/bmj.327.7425.1219","volume":"327","author":"JL Haggerty","year":"2003","unstructured":"Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R (2003) Continuity of care: a multidisciplinary review. BMJ 327(7425):1219\u20131221. https:\/\/doi.org\/10.1136\/bmj.327.7425.1219","journal-title":"BMJ"},{"key":"5497_CR5","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1002\/eat.23234","volume":"53","author":"N Obeid","year":"2020","unstructured":"Obeid N, McVey G, Seale E, Preskow W, Norris ML (2020) Cocreating research priorities for anorexia nervosa: the Canadian Eating Disorder Priority Setting Partnership. Int J Eat Disord 53:662\u2013672. https:\/\/doi.org\/10.1002\/eat.23234","journal-title":"Int J Eat Disord"},{"key":"5497_CR6","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1186\/s40337-022-00648-0","volume":"10","author":"M Reay","year":"2022","unstructured":"Reay M, Holliday J, Stewart J, Adams J (2022) Creating a care pathway for patients with longstanding, complex eating disorders. J Eat Disord 10:128. https:\/\/doi.org\/10.1186\/s40337-022-00648-0","journal-title":"J Eat Disord"},{"key":"5497_CR7","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1007\/s00431-023-04892-7","volume":"182","author":"VJT Peters","year":"2023","unstructured":"Peters VJT, de Winter JP (2023) Integrated care for children living with complex care needs: navigating the long and winding road. Eur J Pediatr 182:1437\u20131438. https:\/\/doi.org\/10.1007\/s00431-023-04892-7","journal-title":"Eur J Pediatr"},{"issue":"4","key":"5497_CR8","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1080\/09638237.2017.1417558","volume":"28","author":"S McArdle","year":"2019","unstructured":"McArdle S (2019) Parents\u2019 experiences of health services for the treatment of eating disorders: a qualitative study. J Ment Health 28(4):404\u2013409. https:\/\/doi.org\/10.1080\/09638237.2017.1417558","journal-title":"J Ment Health"},{"issue":"11","key":"5497_CR9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0242418","volume":"15","author":"VJT Peters","year":"2020","unstructured":"Peters VJT, Meijboom BR, Bunt JEH, Bok LA, van Steenbergen MW, de Winter JP, de Vries E (2020) Providing person-centered care for patients with complex healthcare needs: a qualitative study. PLoS ONE 15(11):e0242418. https:\/\/doi.org\/10.1371\/journal.pone.0242418","journal-title":"PLoS ONE"},{"key":"5497_CR10","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1186\/1472-6963-14-210","volume":"14","author":"R Soffers","year":"2014","unstructured":"Soffers R, Meijboom B, van Zaanen J, van der Feltz-Cornelis C (2014) Modular health services: a single case study approach to the applicability of modularity to residential mental healthcare. BMC Health Serv Res 14:210. https:\/\/doi.org\/10.1186\/1472-6963-14-210","journal-title":"BMC Health Serv Res"},{"issue":"3","key":"5497_CR11","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1111\/j.1540-5915.2009.00241.x","volume":"40","author":"CA Voss","year":"2009","unstructured":"Voss CA, Hsuan J (2009) Service architecture and modularity. Decis Sci 40(3):541\u2013569. https:\/\/doi.org\/10.1111\/j.1540-5915.2009.00241.x","journal-title":"Decis Sci"},{"key":"5497_CR12","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1186\/s12913-019-4545-8","volume":"19","author":"L Fransen","year":"2019","unstructured":"Fransen L, Peters VJT, Meijboom BR, de Vries E (2019) Modular service provision for heterogeneous patient groups: a single case study in chronic Down syndrome care. BMC Health Serv Res 19:720. https:\/\/doi.org\/10.1186\/s12913-019-4545-8","journal-title":"BMC Health Serv Res"},{"key":"5497_CR13","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal of Quality in Health Care 19:349\u2013335. https:\/\/doi.org\/10.1093\/intqhc\/mzm042","journal-title":"International Journal of Quality in Health Care"},{"key":"5497_CR14","unstructured":"Federatie Medisch Specialisten (2021) Richtlijnen database; ondervoeding bij kinderen. https:\/\/richtlijnendatabase.nl\/richtlijn\/ondervoeding_bij_kinderen\/organisatie_van_zorg_bij_ondervoeding_bij_kinderen.html. Accessed 28 July 2023."},{"issue":"13","key":"5497_CR15","doi-asserted-by":"publisher","first-page":"1802","DOI":"10.1177\/1049732316654870","volume":"26","author":"L Birt","year":"2016","unstructured":"Birt L, Scott S, Cavers D, Campbell C, Walter F (2016) Member checking: a tool to enhance trustworthiness or merely a nod to validation? Qual Health Res 26(13):1802\u20131811. https:\/\/doi.org\/10.1177\/1049732316654870","journal-title":"Qual Health Res"},{"issue":"4","key":"5497_CR16","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V (2019) Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health 11(4):589\u2013597. https:\/\/doi.org\/10.1080\/2159676X.2019.1628806","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"issue":"1","key":"5497_CR17","doi-asserted-by":"publisher","first-page":"e2020040279","DOI":"10.1542\/peds.2020-040279","volume":"147","author":"LL Hornberger","year":"2021","unstructured":"Hornberger LL, Lane MA, Committee The, on Adolescence, (2021) Identification and management of eating disorders in children and adolescents. Pediatrics 147(1):e2020040279. https:\/\/doi.org\/10.1542\/peds.2020-040279","journal-title":"Pediatrics"},{"key":"5497_CR18","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1186\/1472-6963-10-278","volume":"10","author":"C de Blok","year":"2010","unstructured":"de Blok C, Luijkx K, Meijboom B, Schols J (2010) Improving long-term care provision: towards demand-based care by means of modularity. BMC Health Serv Res 10:278. https:\/\/doi.org\/10.1186\/1472-6963-10-278","journal-title":"BMC Health Serv Res"},{"key":"5497_CR19","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1002\/erv.830","volume":"16","author":"J Arcelus","year":"2008","unstructured":"Arcelus J, Bouman WP, Morgan JF (2008) Treating young people with eating disorders: transition from child mental health to specialist adult eating disorder services. Eur Eat Disord Rev 16:30\u201336. https:\/\/doi.org\/10.1002\/erv.830","journal-title":"Eur Eat Disord Rev"},{"issue":"5","key":"5497_CR20","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1111\/jar.13015","volume":"35","author":"VJT Peters","year":"2022","unstructured":"Peters VJT, Bok LA, de Beer L, van Rooij JJM, Meijboom BR, Bunt JEH (2022) Destination unknown: parents and healthcare professionals\u2019 perspectives on transition from paediatric to adult care in Down syndrome. J Appl Res Intellect Disabil 35(5):1208\u20131216. https:\/\/doi.org\/10.1111\/jar.13015","journal-title":"J Appl Res Intellect Disabil"}],"container-title":["European Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-024-05497-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00431-024-05497-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-024-05497-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T04:25:59Z","timestamp":1713759959000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00431-024-05497-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,12]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["5497"],"URL":"https:\/\/doi.org\/10.1007\/s00431-024-05497-4","relation":{},"ISSN":["1432-1076"],"issn-type":[{"value":"1432-1076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,12]]},"assertion":[{"value":"1 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Author VP is a member of the Editorial Advisory Board of the European Journal of Pediatrics. No funds, grants, or other support was received to conduct this research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}