Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic.

IF 0.8 Q4 PEDIATRICS Journal of pediatric rehabilitation medicine Pub Date : 2024-01-01 DOI:10.3233/PRM-230011
Skylar M Hess, Dorothy Adu-Amankwah, Cordelia R Elaiho, Liam R Butler, Sheena C Ranade, Brijen J Shah, Kristin Shadman, Robert Fields, Elaine P Lin
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Abstract

Objective: This study explored family satisfaction and perceived quality of care in a pediatric neuromuscular care clinic to assess the value of the multidisciplinary clinic (MDC) model in delivering coordinated care to children with neuromuscular disorders, such as cerebral palsy.

Methods: Caregivers of 22 patients were administered a qualitative survey assessing their perceptions of clinic efficiency, care coordination, and communication. Surveys were audio-recorded and transcribed. Thematic analysis was completed using both deductive and inductive methods.

Results: All caregivers reported that providers adequately communicated next steps in the patient's care, and most reported high confidence in caring for the patient as a result of the clinic. Four major themes were identified from thematic analysis: Care Delivery, Communication, Care Quality, and Family-Centeredness. Caregivers emphasized that the MDC model promoted access to care, enhanced efficiency, promoted provider teamwork, and encouraged shared care planning. Caregivers also valued a physical environment that was suitable for patients with complex needs.

Conclusion: This study demonstrated that caregivers believed the MDC model was both efficient and convenient for pediatric patients with neuromuscular disorders. This model has the potential to streamline medical care and can be applied more broadly to improve care coordination for children with medical complexity.

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多学科儿科神经肌肉诊所护理人员的定性反馈。
目的:本研究探讨了家庭对儿科神经肌肉护理诊所的满意度和对护理质量的感知,以评估多学科诊所(MDC)模式在为患有神经肌肉疾病(如脑瘫)的儿童提供协调护理方面的价值:对 22 名患者的护理人员进行了定性调查,评估他们对诊所效率、护理协调和沟通的看法。对调查进行了录音和转录。采用演绎法和归纳法完成了主题分析:结果:所有护理人员都表示,医疗服务提供者充分传达了病人护理的下一步措施,而且大多数护理人员表示,由于诊所的存在,他们对护理病人很有信心。主题分析确定了四大主题:护理服务、沟通、护理质量和以家庭为中心。护理人员强调,移动医疗中心模式促进了护理的可及性、提高了效率、促进了医疗服务提供者的团队合作,并鼓励共同制定护理计划。护理人员还重视适合有复杂需求的病人的物理环境:本研究表明,护理人员认为 MDC 模式对于儿科神经肌肉疾病患者来说既高效又方便。这种模式具有简化医疗护理的潜力,可以更广泛地应用于改善医疗复杂性儿童的护理协调。
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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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