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Common Consumer Health-Related Needs in the Pediatric Hospital Setting: Lessons from an Engagement Consultation
Daniel J Lee1,2, Robert Cronin2,3,4, Jamie Robinson2,5
1Department of Urology, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States.
Insights
Engaged parents improve child illness outcomes. An Engagement Consultation Service identified common caregiver needs, offering educational and tech solutions to support hospitalized children and their families.
Area of Science:
- Pediatric Healthcare
- Patient Engagement
- Caregiver Support
Background:
- Informed parents positively impact pediatric illness outcomes.
- Understanding caregiver needs is crucial for enhancing patient engagement.
- An Engagement Consultation Service (ECS) was established in 2014 to address these needs.
Purpose of the Study:
- To identify common health-related needs of caregivers for hospitalized pediatric patients.
- To detail recommended educational and technological interventions for these needs.
Main Methods:
- Extracted caregiver needs from 3 years of ECS consultation notes.
- Classified needs using a taxonomy of consumer health needs.
- Documented typical recommendations and their administration.
Main Results:
- Common needs include post-discharge communication, medical device use, symptom assessment, provider communication, information seeking, prognosis understanding, and emotional support.
- Interventions included apps, websites, print materials, and online groups.
Conclusions:
- Hospitalized pediatric patients' parents have identifiable health needs addressable by education and technology.
- An inpatient ECS offers a scalable model for identifying needs and providing support during and after hospitalization.
Background:
Informed and engaged parents may influence outcomes for childhood illness. Understanding the needs of the caregivers of pediatric patients is a critical first step in promoting engagement in their child's care. In 2014, we developed an Engagement Consultation Service at the Monroe Carell Jr. Children's Hospital at Vanderbilt. This service determines the health-related needs of the caregivers of hospitalized children and makes educational or technology recommendations to meet those needs and support engagement.
Objectives:
This report describes the most common health-related needs identified in the caregivers of hospitalized pediatric patients and details the recommended interventions to meet those needs.
Methods:
The most commonly reported consumer health-related needs from our 3-year experience with the Engagement Consultation Service were extracted from consultations notes. Each need was classified by semantic type using a taxonomy of consumer health needs. Typical recommendations for each need and their administration were detailed.
Results:
The most frequently recognized needs involved communicating with health care providers after discharge, using medical devices, distinguishing between benign and concerning symptoms, knowing what questions to ask providers and remembering them, finding trustworthy sources of information online, understanding disease prognosis, and getting emotional support. A variety of apps, Web sites, printed materials, and online groups were recommended.
Conclusion:
The parents of hospitalized patients share several common health-related needs that can be addressed with educational and technology interventions. An inpatient Engagement Consultation Service provides a generalizable framework for identifying health-related needs and delivers tools to meet those needs and promote engagement during and after hospitalizations.
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