Building communication between professionals at children's specialty hospitals and the medical home
| Autor: | Donald E. Lighter, Jennifer Frantz, Christopher J. Stille, Lawrence C. Vogel |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Medical home
Male Quality management Interview Quality Assurance Health Care education Specialty Communications system Nursing Intervention (counseling) Surveys and Questionnaires Medicine Humans Practice Patterns Physicians' Child Physician's Role health care economics and organizations Quality Indicators Health Care Primary Health Care business.industry Communication Continuity of Patient Care Hospitals Pediatric Identification (information) Massachusetts Content analysis Research Design Pediatrics Perinatology and Child Health Female Interdisciplinary Communication business |
| Zdroj: | Clinical pediatrics. 48(6) |
| ISSN: | 0009-9228 |
| Popis: | Objective. Build a quality improvement (QI) intervention to improve communication between a children's specialty hospital and referring primary care providers (PCPs). Methods. A network of charitable children's hospitals identified improving communication as a systemwide goal. At one model hospital, we used qualitative telephone interviewing of hospital specialists and staff, and referring PCPs, to characterize the communication system and identify potential improvements. We identified potential high-impact areas through content analysis and developed a QI change package with hospital leadership. Results. Participants described inconsistent communication, with no systematic identification of PCPs. Families were the typical means of inter-physician communication. Multiple non-PCP referral sources were a major contributor to communication breakdowns. Respondents identified a system for identification and communication with PCPs as an essential first step. Conclusions. Systems for communication with PCPs are underdeveloped at a children's charitable specialty hospital. Straightforward changes could build an effective system that is generalizable to other hospitals. |
| Databáze: | OpenAIRE |
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