Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity
Autor: | Victoria Parente, Tracy Spears, Megan Gray, David Y. Ming, George L. Jackson, Hayden B. Bosworth, Jessica Sperling, Noelle Wyman Roth |
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Rok vydání: | 2018 |
Předmět: |
Male
Parents business.industry Mobile Applications Parental engagement Patient Care Planning Market fragmentation 03 medical and health sciences 0302 clinical medicine Nursing Electronic health record Median time 030225 pediatrics Pediatrics Perinatology and Child Health Chronic Disease Medicine Electronic Health Records Humans Female business Care program Child Delivery of Health Care |
Zdroj: | Clinical pediatrics. 58(1) |
ISSN: | 1938-2707 |
Popis: | Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study’s objectives were to (1) evaluate feasibility of mobile complex care plans (MCCPs) for CMC enrolled in a complex care program and (2) study MCCPs’ impact on parent engagement, parent experience, and care coordination. MCCPs were individualized, updated quarterly, integrated within the electronic health record, and visible on parents’ mobile devices via an online portal. In 1 year (September 1, 2016, to August 31, 2017), 94% of eligible patients (n = 47) received 162 MCCPs. Seventy-four percent of parents (n = 35) reviewed MCCPs online. Forty-six percent of these parents (n = 16) sent a follow-up message, and the care team responded within 8 hours (median time = 7.2 hours). In interviews, parents identified MCCPs as an important reference and communication tool. MCCPs for CMC in a complex care program were feasible, facilitated parental engagement, and delivered timely communication. |
Databáze: | OpenAIRE |
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