New Findings from Kimberly Prendergast and Co-Authors in the Area of Health and Medicine Reported (Dietitians as Boundary Spanners: A Case Study of a Cross-Sector Health-Related Social Needs Program): Health and Medicine
2026 JUN 09 (NewsRx) -- By a
Our news journalists obtained a quote from the research, “This study asks: How do dietitians act as boundary-spanning professionals within a cross-sector nutrition program, and how does this work enable integration of medical and social care? METHODS: We conducted a qualitative case study using semi-structured interviews with nine dietitians from CBOs collaborating with a Massachusetts Medicaid ACO. Guided by Complex Adaptive Systems theory, the boundary spanning literature, and empowerment theory, we applied the Framework Method to examine how dietitians navigate cross-sector work, adapt to system challenges, and strengthen their skills through collaboration. Dietitians described the system as dynamic and interdependent, requiring ongoing adaptation. They described aspects of the ACO partnership as collaborative and supportive, enabling them to learn, adjust, and serve patients more effectively. Dietitians saw boundary spanning as exciting and mission-driven work. Cross-sector collaboration strengthened and broadened dietitians’ skill set as they learned to use advanced communication and relationship-building skills to overcome challenges such as limited access to patient data and varying information systems. Working within a CBO allowed them to address patients’ social needs, while connection to the health sector gave them access to patients who could benefit from nutrition supports. Dietitians met challenges with innovative patient-centered problem-solving, creativity, and flexibility, demonstrating adaptive capacity within a complex care ecosystem. Dietitians demonstrated strong boundary-spanning capacity, using cross-sector work as an opportunity to connect systems, refine their practice, and deliver more responsive nutrition care.”
According to the news editors, the research concluded: “Their success in meeting patients’ needs was in part due to a flexible collaborative model that empowered actors to serve patients holistically.”
This research has been peer-reviewed.
For more information on this research see: Dietitians as Boundary Spanners: A Case Study of a Cross-Sector Health-Related Social Needs Program.
The news correspondents report that additional information may be obtained from
The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/jhn.70282. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.
The publisher’s contact information for the
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