Effects of a Telehealth Care Coordination Intervention on Perceptions of Health Care by Caregivers of Children With Medical Complexity: A Randomized Controlled Trial
| Autor: | Megan M. Antolick, Ann E Garwick, Stanley M. Finkelstein, Rhonda G. Cady, Scott Lunos, Wendy S. Looman |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Medical home medicine.medical_specialty Adolescent Telehealth Health Services Accessibility Article law.invention Nursing Advanced practice registered nurse Randomized controlled trial Ambulatory care law Intervention (counseling) Health care Humans Medicine Community Health Services Cooperative Behavior Child Quality of Health Care Advanced Practice Nursing business.industry Continuity of Patient Care Telemedicine Pediatric Nursing Test (assessment) Caregivers Social Perception Patient Satisfaction Child Preschool Health Care Surveys Family medicine Chronic Disease Pediatrics Perinatology and Child Health Quality of Life Female business Program Evaluation |
| Zdroj: | Journal of Pediatric Health Care. 29:352-363 |
| ISSN: | 0891-5245 |
| Popis: | Introduction The purpose of this study was to evaluate the effect of advanced practice registered nurse (APRN) telehealth care coordination for children with medical complexity (CMC) on family caregiver perceptions of health care. Method Families with CMC ages 2 to 15 years (N = 148) were enrolled in a three-armed, 30-month randomized controlled trial to test the effects of adding an APRN telehealth care coordination intervention to an existing specialized medical home for CMC. Satisfaction with health care was measured using items from the Consumer Assessment of Healthcare Providers and Systems survey at baseline and after 1 and 2 years. Results The intervention was associated with higher ratings on measures of the child's provider, provider communication, overall health care, and care coordination adequacy, compared with control subjects. Higher levels of condition complexity were associated with higher ratings of overall health care in some analyses. Discussion APRN telehealth care coordination for CMC was effective in improving ratings of caregiver experiences with health care and providers. Additional research with CMC is needed to determine which children benefit most from high-intensity care coordination. |
| Databáze: | OpenAIRE |
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