Department of Pediatrics, Penn State Health Children's Hospital, Hershey, PA, USA.
Department of Medicine, Penn State College of Medicine, Hershey, PA, USA.
Clin Pediatr (Phila). 2023 Sep;62(8):926-934. doi: 10.1177/00099228221149279. Epub 2023 Feb 1.
Children's hospitals are discharging patients to home with increasingly complex outpatient needs, making safe transitions of care (ToCs) of vital importance. Our study involved a survey of both outpatient providers and pediatric hospitalists associated with our medical center to better describe providers' views on the ToC process. The survey included questions assessing views on patient care responsibilities, resource availability, our hospitalist-run postdischarge clinic (PDC), and comfort with telemedicine. Our hospitalists generally believed that primary care providers (PCPs) did not have adequate access to important ToC elements, whereas PCPs felt their access was adequate. Both provider types felt it was the inpatient team's responsibility to manage patient events between discharge and PCP follow-up and that a hospitalist-run PDC may reduce interim emergency room visits. This study challenges perceptions about the ToC process in children and describes a generalizable approach to assessing provider perceptions surrounding the ToC within individual health systems.
儿童医院正将越来越多具有复杂门诊需求的患者出院回家，安全的医疗过渡（ToC）变得至关重要。我们的研究对我们医疗中心的门诊提供者和儿科医院医生进行了调查，以更好地描述提供者对 ToC 流程的看法。该调查包括评估患者护理责任、资源可用性、我们由医院医生管理的出院后诊所（PDC）以及对远程医疗的舒适度的问题。我们的医院医生普遍认为初级保健提供者（PCPs）无法获得重要的 ToC 要素，而 PCP 认为他们的访问是足够的。两种类型的提供者都认为负责管理患者在出院和 PCP 随访之间的事件的是住院团队，并且由医院医生管理的 PDC 可能会减少临时急诊室就诊。这项研究挑战了人们对儿童 ToC 流程的看法，并描述了一种可推广的方法，用于评估单个医疗系统中围绕 ToC 的提供者看法。
