The Effectiveness of Family-Centered Transition Processes From Hospital Settings to Home: A Review of the Literature

Desai, Arti D.; Popalisky, Jean; Simon, Tamara D.; Mangione-Smith, Rita

doi:10.1542/hpeds.2014-0097

Cited by 54 publications

(64 citation statements)

References 65 publications

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“…There is evidence, primarily in newborn and high-risk adult populations, that postdischarge home nurse visits or phone calls can improve outcomes such as decreased health care utilization. [35][36][37][38][39][40][41][42] Such evidence, in combination with our findings, reinforces the need for further study of visits or calls that are tailored to meet the needs of families after hospital discharge. Determining their impact on both family-centered outcomes in addition to health care utilization is critical.…”

Section: Figuresupporting

confidence: 72%

“…included pediatric studies involving only emergency department-to-home transitions highlights that, in pediatrics, family-centered interventions are not routinely informed by solicited input from families. 35 Smith and Daughtrey 3 surveyed parental perceptions after discharge to determine their needs and to identify areas necessitating improvement, with results generally supporting our findings; however, this study was limited by the use of phone surveys and interviews. Thus, there remains a gap in the literature with respect to how families view the hospital-to-home transition period and how their input could be translated into targeted familycentered interventions.…”

Section: Figuresupporting

confidence: 68%

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The Family Perspective on Hospital to Home Transitions: A Qualitative Study

Solan

Beck²,

Brunswick³

et al. 2015

Pediatrics

125

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on behalf of the H2O Study Group abstract BACKGROUND AND OBJECTIVE: Transitions from the hospital to home can be difficult for patients and families. Family-informed characterization of this vulnerable period may facilitate the identification of interventions to improve transitions home. Our objective was to develop a comprehensive understanding of hospital-to-home transitions from the family perspective.

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Section: Figuresupporting

confidence: 72%

Section: Figuresupporting

confidence: 68%

The Family Perspective on Hospital to Home Transitions: A Qualitative Study

Solan

Beck²,

Brunswick³

et al. 2015

Pediatrics

125

View full text Add to dashboard Cite

show abstract

“…Access to follow-up care is a fundamental component of family-centred transitions,24 but our findings suggest that such access, for some, can be limited. Our findings align with adult studies that highlight feelings of ‘abandonment’ at discharge, with many knowing that they would be unable to fill prescriptions or follow-up as instructed 14 17.…”

Section: Discussionmentioning

confidence: 67%

Socioeconomic status influences the toll paediatric hospitalisations take on families: a qualitative study

et al. 2016

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Background Stress caused by hospitalisations and transition periods can place patients at a heightened risk for adverse health outcomes. Additionally, hospitalisations and transitions to home may be experienced in different ways by families with different resources and support systems. Such differences may perpetuate postdischarge disparities. Objective We sought to determine, qualitatively, how the hospitalisation and transition experiences differed among families of varying socioeconomic status (SES). Methods Focus groups and individual interviews were held with caregivers of children recently discharged from a children's hospital. Sessions were stratified based on SES, determined by the percentage of individuals living below the federal poverty level in the census tract or neighbourhood in which the family lived. An open-ended, semistructured question guide was developed to assess the family's experience. Responses were systematically compared across two SES strata (tract poverty rate of <15% or ≥15%). Results A total of 61 caregivers who were 87% female and 46% non-white participated; 56% resided in census tracts with ≥15% of residents living in poverty (ie, low SES). Interrelated logistical (eg, disruption in-home life, ability to adhere to discharge instructions), emotional (eg, overwhelming and exhausting nature of the experience) and financial (eg, cost of transportation and meals, missed work) themes were identified. These themes, which were seen as key to the hospitalisation and transition experiences, were emphasised and described in qualitatively different ways across SES strata. Conclusions Families of lower SES may experience challenges and stress from hospitalisations and transitions in different ways than those of higher SES. Care delivery models and discharge planning that account for such challenges could facilitate smoother transitions that prevent adverse events and reduce disparities in the postdischarge period. Trial registration number NCT02081846; Pre-results.

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“…Development and validation of these measures involved review of the pediatric and adult transitions of care literature, with a focus on studies examining relationships between transitional care processes and improved health and health care outcomes 5 ; development of draft quality measures based on this evidence review, with evaluation of these measures by a multistakeholder Delphi panel; operationalization of measures into detailed measure specifications that could be applied to medical record data; medical record abstractions at 5 hospitals; calculation and interpretation of measure scores; and validation of medical record measures via outcomes available in hospital administrative data. These steps are detailed below.…”

Section: Methodsmentioning

confidence: 99%