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Continuity of care for children with chronic conditions: mixed methods research

OBJECTIVE: To analyze the continuity of care for children with chronic conditions from the transition from hospital to home. METHOD: Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applie...

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Autores principales: Cechinel-Peiter, Caroline, Gomes, Vitória Carolini, Lanzoni, Gabriela Marcellino de Melo, dos Santos, José Luís Guedes, de Mello, Ana Lúcia Schaefer Ferreira, Magalhães, Aline Lima Pestana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidade de São Paulo, Escola de Enfermagem 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081652/
https://www.ncbi.nlm.nih.gov/pubmed/36734328
http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0232en
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author Cechinel-Peiter, Caroline
Gomes, Vitória Carolini
Lanzoni, Gabriela Marcellino de Melo
dos Santos, José Luís Guedes
de Mello, Ana Lúcia Schaefer Ferreira
Magalhães, Aline Lima Pestana
author_facet Cechinel-Peiter, Caroline
Gomes, Vitória Carolini
Lanzoni, Gabriela Marcellino de Melo
dos Santos, José Luís Guedes
de Mello, Ana Lúcia Schaefer Ferreira
Magalhães, Aline Lima Pestana
author_sort Cechinel-Peiter, Caroline
collection PubMed
description OBJECTIVE: To analyze the continuity of care for children with chronic conditions from the transition from hospital to home. METHOD: Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applied to 201 legal guardians of children with chronic conditions, and semi-structured interviews were conducted with 35 participants (among professionals and guardians). Data were combined by integration. RESULTS: The efforts of the hospital team to promote continuity of care after discharge from the transition from hospital to home impact on the quality-of-care transition perceived by caregivers, with a mean of 89.5 (standard deviation = 12.5) points. However, the absence of formal mechanisms to guide the transition of care makes it difficult to achieve continuity of care in the health network. CONCLUSION: Continuity of care for children is hindered by barriers, against which hospital care professionals seek individual strategies to overcome them. It is essential to establish institutional actions and public policies aiming at the transition of care to promote continuity of care.
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spelling pubmed-100816522023-04-14 Continuity of care for children with chronic conditions: mixed methods research Cechinel-Peiter, Caroline Gomes, Vitória Carolini Lanzoni, Gabriela Marcellino de Melo dos Santos, José Luís Guedes de Mello, Ana Lúcia Schaefer Ferreira Magalhães, Aline Lima Pestana Rev Esc Enferm USP Original Article OBJECTIVE: To analyze the continuity of care for children with chronic conditions from the transition from hospital to home. METHOD: Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applied to 201 legal guardians of children with chronic conditions, and semi-structured interviews were conducted with 35 participants (among professionals and guardians). Data were combined by integration. RESULTS: The efforts of the hospital team to promote continuity of care after discharge from the transition from hospital to home impact on the quality-of-care transition perceived by caregivers, with a mean of 89.5 (standard deviation = 12.5) points. However, the absence of formal mechanisms to guide the transition of care makes it difficult to achieve continuity of care in the health network. CONCLUSION: Continuity of care for children is hindered by barriers, against which hospital care professionals seek individual strategies to overcome them. It is essential to establish institutional actions and public policies aiming at the transition of care to promote continuity of care. Universidade de São Paulo, Escola de Enfermagem 2023-01-16 /pmc/articles/PMC10081652/ /pubmed/36734328 http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0232en Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cechinel-Peiter, Caroline
Gomes, Vitória Carolini
Lanzoni, Gabriela Marcellino de Melo
dos Santos, José Luís Guedes
de Mello, Ana Lúcia Schaefer Ferreira
Magalhães, Aline Lima Pestana
Continuity of care for children with chronic conditions: mixed methods research
title Continuity of care for children with chronic conditions: mixed methods research
title_full Continuity of care for children with chronic conditions: mixed methods research
title_fullStr Continuity of care for children with chronic conditions: mixed methods research
title_full_unstemmed Continuity of care for children with chronic conditions: mixed methods research
title_short Continuity of care for children with chronic conditions: mixed methods research
title_sort continuity of care for children with chronic conditions: mixed methods research
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081652/
https://www.ncbi.nlm.nih.gov/pubmed/36734328
http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0232en
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