Quality of transitional care of children with chronic diseases: a cross-sectional study
Caroline Cechinel-Peiter1, Gabriela Marcellino de Melo Lanzoni1, Ana Lúcia Schaefer Ferreira de Mello1
1Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Insights
The quality of hospital-to-home care transitions for children with chronic diseases was rated highly by family members. Better transition quality was linked to living outside the hospital
Area of Science:
- Pediatric Healthcare
- Chronic Disease Management
- Healthcare Quality
Background:
- Effective hospital-to-home care transitions are crucial for children with chronic diseases.
- Understanding factors influencing transition quality is essential for improving patient outcomes.
Purpose of the Study:
- To identify factors associated with the quality of care transitions for pediatric chronic disease patients.
- To analyze the perception of family members regarding hospital discharge processes.
Main Methods:
- A quantitative, cross-sectional study involving 167 family members of children with chronic diseases.
- Data collected via demographic questionnaire and the Brazilian version of the Care Transitions Measure (CTM-15).
- Study conducted in two hospitals in Southern Brazil between February and September 2019.
Main Results:
- The overall quality of care transition score averaged 90.1 (SD = 19.5).
- "Health management preparation" received the highest score (92.3, SD = 11.6), while "Care plan" had the lowest (86.3, SD = 21.3).
- Higher transition quality was observed for patients residing in health regions different from the hospital's.
Conclusions:
- Family members perceived the hospital-to-home care transition for children with chronic diseases as high quality.
- Residing in a different health region than the hospital was associated with a better perception of care transition quality.
Objective:
To analyze which factors may be associated with the quality-of-care transition of children with chronic diseases from the hospital to their home.
Method:
A cross-sectional, quantitative study, carried out in two hospitals in Southern Brazil, from February to September 2019. Participants included 167 family members of children with chronic disease. Data collection took place through a demographic questionnaire, and the use of the Brazilian version of the Care Transitions Measure (CTM-15).
Results:
The average score for the quality of care transition was 90.1 (sd = 19.5) (0-100). Factor 1, "Health management preparation", was the one with the highest self-perceived average, 92.3 (sd = 11.6), while Factor 4, "Care plan", had the lowest average, 86.3 (sd = 21.3). The quality of care transition was higher for patients living in municipalities belonging to health regions other than the hospital's.
Conclusion:
The quality of care transition for children with chronic diseases, perceived by the children's family members, in the discharge process from the hospital to home, was considered high. Living in a health region other than the hospital's region was associated with better perception of the quality of care transition.
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