Lynch-Godrei Anisha, Doherty Megan, Vadeboncoeur Christina
CHEO Research Institute, Ottawa, ON, Canada.
Roger Neilson House, Ottawa, ON, Canada.
Health Serv Insights. 2022 Mar 25;15:11786329221078124. doi: 10.1177/11786329221078124. eCollection 2022.
High quality pediatric homecare requires comprehensive assessment of the needs, supports, and health care challenges of children with special healthcare needs and their families. There is no standardized homecare assessment system to evaluate children's clinical needs in the home (support services, equipment, etc.) in Ontario, Canada, which contributes to inequitable homecare service allocation. In 2017, the interRAI Pediatric Home Care assessment tool (PEDS-HC) was implemented on a pilot basis in several regions of Ontario. This qualitative descriptive study explores the experiences of homecare coordinators using the PEDS-HC, seeking to understand the utility and feasibility of this tool through focus group discussion. Four major themes were identified including: the benefits of the tool; areas for modification; challenges to use; and Clinical Assessment Protocols to develop. These themes can guide modifications to the tool to improve utility and improve pediatric home care services. The PEDS-HC is an effective tool to assess children needing homecare in a standardized and comprehensive manner. Use of the tool can improve the quality of homecare services by ensuring equity in service provision and facilitate early identification of clinical issues to prevent unexpected health deteriorations.
高质量的儿科家庭护理需要对有特殊医疗需求的儿童及其家庭的需求、支持和医疗保健挑战进行全面评估。在加拿大安大略省，没有标准化的家庭护理评估系统来评估儿童在家中的临床需求（支持服务、设备等），这导致了家庭护理服务分配的不公平。2017年，interRAI儿科家庭护理评估工具（PEDS-HC）在安大略省的几个地区进行了试点实施。这项定性描述性研究探讨了家庭护理协调员使用PEDS-HC的经验，旨在通过焦点小组讨论了解该工具的实用性和可行性。确定了四个主要主题，包括：该工具的益处；需要修改的方面；使用中的挑战；以及有待制定的临床评估方案。这些主题可以指导对该工具进行修改，以提高其效用并改善儿科家庭护理服务。PEDS-HC是一种以标准化和全面的方式评估需要家庭护理儿童的有效工具。使用该工具可以通过确保服务提供的公平性来提高家庭护理服务的质量，并有助于早期发现临床问题，以防止意外的健康恶化。
