Family experiences and pediatric health services use associated with family-centered rounds

Dennis Z Kuo1, Laura L Sisterhen, Ted E Sigrest

  • 1Center for Applied Research and Evaluation, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72202, USA. dzkuo@uams.edu

Pediatrics
|July 11, 2012
PubMed

Insights

Family-centered rounds (FCR) improve parent satisfaction and communication without increasing healthcare use. These interdisciplinary bedside rounds enhance family experiences during pediatric hospitalizations.

Area of Science:

  • Pediatric healthcare quality
  • Patient and family engagement
  • Health services research

Background:

  • Family-centered rounds (FCR) involve interdisciplinary bedside teaching with active family participation.
  • Previous research has not fully elucidated the impact of FCR on family experiences and healthcare utilization.

Purpose of the Study:

  • To investigate the association between family-centered rounds (FCR) and family experiences.
  • To examine the relationship between FCR and health services use in pediatric inpatient settings.

Main Methods:

  • Prospective comparative study of pediatric patients with and without FCR.
  • Data collected via interviews, surveys (Consumer Assessment of Healthcare Providers and Systems), and medical record review.
  • Propensity score matching used to control for confounding variables.

Main Results:

  • Families participating in FCR reported significantly better consistent medical information, care plan discussion options, and perceived physician attentiveness and respect.
  • No significant differences were observed in the number of medications prescribed or time of discharge between FCR and non-FCR groups.
  • Hospital charges did not differ significantly after adjusting for outliers in length of stay.

Conclusions:

  • Family-centered rounds are linked to enhanced parent satisfaction and improved communication.
  • FCR implementation does not appear to increase the burden on health services use.
  • Further research is recommended to evaluate FCR in diverse clinical settings.
Abstract

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