Parent and Physician Qualitative Perspectives on Reasons for Pediatric Hospital Readmissions
| Autor: | Pranjali Vadlaputi, Michelle Y. Hamline, Laura R. Kair, Hadley S. Sauers-Ford, Jennifer L. Rosenthal |
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| Rok vydání: | 2021 |
| Předmět: |
Parents
medicine.medical_specialty media_common.quotation_subject Clinical Sciences Psychological intervention 8.1 Organisation and delivery of services Patient Readmission Pediatrics Article Clinical Research Physicians Pediatric hospital Humans Medicine In patient Child media_common Pediatric business.industry Communication Prevention General Medicine Patient Discharge Family medicine Pediatrics Perinatology and Child Health Public Health and Health Services Conceptual model Generic health relevance business Health and social care services research Qualitative research |
| Zdroj: | Hospital pediatrics, vol 11, iss 10 Hosp Pediatr |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2020-004499 |
| Popis: | OBJECTIVES One in 5 parents report a problem in their child’s hospital-to-home transition, leading to adverse events, dissatisfaction, and readmissions. Although researchers in several studies have explored parent insights into discharge needs, few have explored perceptions of causes for pediatric readmissions. We sought to investigate factors contributing to pediatric readmissions, from both parent and physician perspectives. METHODS We conducted a qualitative study using semistructured interviews with parents, discharging and readmitting physicians, and subspecialist consultants of children readmitted within 30 days of initial discharge from the pediatric ward at an urban nonfreestanding children’s hospital. Participants were interviewed during the readmission and asked about care transition experiences during the initial admission and potential causes and preventability of readmission. Data were analyzed iteratively by using a constant-comparative approach. We identified major themes, solicited feedback, and inferred relationships between themes to develop a conceptual model for preventing readmissions. RESULTS We conducted 53 interviews from 20 patient readmissions, including 20 parents, 20 readmitting physicians, 11 discharging physicians, and 3 consulting subspecialists. Major themes included the following: (1) unclear roles cause lack of ownership in patient care tasks, (2) lack of collaborative communication leads to discordant understanding of care plans, and (3) incomplete hospital-to-home transitions result in ongoing reliance on the hospital. CONCLUSIONS Clear definition of team member roles, improved communication among care team members and between care teams and families, and enhanced care coordination to facilitate the hospital-to-home transition were perceived as potential interventions that may help prevent readmissions. |
| Databáze: | OpenAIRE |
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